Massoud Motamed, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2404 Issued in NC

Practice address

515 W Main St
Mount Olive, NC 28365-1903

Phone

(919) 658-0003

Fax

(919) 658-0310

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mt. Olive Chiropractic Clinic, P.C.Group PAC ID 3072604628, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mt. Olive Chiropractic Clinic, P.C.

  • Chiropractor
  • Mount Olive, NC
  • NPI 1285730697
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538238696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W MAIN ST",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651903",
            "telephone_number": "919-658-0003",
            "fax_number": "919-658-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W MAIN ST",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651903",
            "telephone_number": "919-658-0003",
            "fax_number": "919-658-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTAMED",
        "first_name": "MASSOUD",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890820M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0820M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edgbert Ray McLemore Jr., RPH
• Oscar Mojica
• Jessi Brooke Morgan, PHARMD
• Iman Motamed, DC
• Kiana Motamed, DC
• Shanta Motamed, DC
• Mount Olive Physical Therapy LLC
• Mt Olive Family Medicine Center Inc
• Mt. Olive Chiropractic Clinic, P.C.
• Mt. Olive Family Medicine Center

• Chiropractor in Mount Olive, NC
• Providers in Mount Olive, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.