Individual provider Active NPI

Neda N Bahadori, D.C.

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1669417804
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8940 Issued in TX
Practice address
707 N Riverside Dr
Fort Worth, TX 76111-4247
Phone
(817) 834-7422
Fax
(817) 834-7423
NPI assigned
Jun 20, 2006
Last updated
Aug 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8940 TX Primary

Addresses

Primary practice location

707 N Riverside Dr
Fort Worth, TX 76111-4247

Mailing address

707 N Riverside Dr
Fort Worth, TX 76111-4247
Phone (817) 834-7422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8940TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Injury and Rehab Center, Inc. PastSince Jan 2, 2004 Accepting new patients
DFW Workers Rehab, Inc. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1669417804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N RIVERSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761114247",
            "telephone_number": "817-834-7422",
            "fax_number": "817-834-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N RIVERSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761114247",
            "telephone_number": "817-834-7422",
            "fax_number": "817-834-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHADORI",
        "first_name": "NEDA",
        "middle_name": "N",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.