DFW Injury Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12768 Issued in TX

Legal business name

DFW INJURY CLINIC

Practice address

3501 Gus Thomasson Rd
Suite # 75
Mesquite, TX 75150-3699

Phone

(972) 279-9111

Fax

(972) 279-9115

NPI assigned

Oct 21, 2014

Last updated

Oct 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kamyar Ghaffari, DC

Title

Owner

Phone

(972) 279-9111

Specialties & licenses 1

Addresses

Tax ID family

DFW Injury Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• DFW Workers Rehab, Inc.

  dba Texas Workers Rehab

  • Rehabilitation Chiropractor
  • Fort Worth, TX
  • NPI 1760503023
  NPD tax ID

Locations

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1689078578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 GUS THOMASSON RD",
            "address_2": "SUITE # 75",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503699",
            "telephone_number": "972-279-9111",
            "fax_number": "972-279-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 GUS THOMASSON RD",
            "address_2": "SUITE # 75",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751503699",
            "telephone_number": "972-279-9111",
            "fax_number": "972-279-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW INJURY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "GHAFFARI",
        "authorized_official_first_name": "KAMYAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-279-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin John Deschner, PHD
• Destined Healthcare Services, Inc.
• Latresa Dewberry
• DFW Capital PC (Galloway Dental)
• DFW Dental Capital PC (Galloway Dental)
• DFW Oral and Maxillofacial Surgery Mesquite, LLC
• DFW Signature Services (The Safe Space Co.)
• Diagnostic Evaluation Centers of America
• Diagnostic Image Plus
• Leslie Diaz

• Chiropractor in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.