Individual provider Active NPI

Marmar Mazhari Wright, DC

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1669512315
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034512 Issued in WA
Practice address
1299 156TH Ave NE Ste 123
Bellevue, WA 98007-7562
Phone
(425) 641-8481
Fax
(425) 641-0880
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034512 WA Primary

Addresses

Primary practice location

1299 156TH Ave NE Ste 123
Bellevue, WA 98007-7562

Mailing address

4479 249TH Ter SE
Issaquah, WA 98029-5811
Phone (425) 677-7227

Other identifiers 1

IdentifierTypeStateIssuer
CH00034512OtherWACHIROPRACTIC LICENSE

Other names 1

  • Dr. Marmar M Mazhari Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH00034512WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Life Chiropractic Chiropractor PastSince Jun 1, 2009 Accepting new patients
Premier Chiropractic 4 PLLC Chiropractor 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1669512315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4479 249TH TER SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295811",
            "telephone_number": "425-677-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 156TH AVE NE STE 123",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980077562",
            "telephone_number": "425-641-8481",
            "fax_number": "425-641-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MARMAR",
        "middle_name": "MAZHARI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "CH00034512",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARMAR",
            "last_name": "MAZHARI",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.