Mak Chiropractic Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11649 Issued in TX

Legal business name

MAK CHIROPRACTIC CLINIC, LLC

Practice address

1818 E Belt Line Rd
Carrollton, TX 75006-6106

Phone

(972) 203-7625

Fax

(972) 203-7818

NPI assigned

Jul 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mohamad-Ali S Kolailat, D.C.NPI 1700114006

Title

Founder

Phone

(972) 203-7625

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohamad-Ali Samir Kolailat, D.C

  • Chiropractor
  • Carrollton, TX
  • NPI 1700114006
  NPD (past) Authorized official

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1700131877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 E BELT LINE RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066106",
            "telephone_number": "972-203-7625",
            "fax_number": "972-203-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E BELT LINE RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066106",
            "telephone_number": "972-203-7625",
            "fax_number": "972-203-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAK CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "KOLAILAT",
        "authorized_official_first_name": "MOHAMAD-ALI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "972-203-7625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Trisha Yvonne Makowski, CPHT
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• Nisha Malhotra
• Ayesha Noor Malik, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.