Organization Active NPI

My Chiro, PLLC

  • Chiropractor
  • Indian Trail, NC
National Provider Identifier
1720486400
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2976 Issued in NC
Legal business name
MY CHIRO, PLLC
Practice address
115 Indian Trail Rd N
Indian Trail, NC 28079-7808
Phone
(704) 635-0262
NPI assigned
Dec 12, 2014
Last updated
Dec 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Dr. Mazyar Neshat, D.C.
Title
Member & Manager
Phone
(704) 635-0262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2976 NC Primary

Addresses

Primary practice location

115 Indian Trail Rd N
Indian Trail, NC 28079-7808

Mailing address

124 Unionville Indian Trail Rd W
Suite B4
Indian Trail, NC 28079-5591

National Provider Directory

National Provider Directory

Locations

115 Indian Trail Rd N
Indian Trail, NC 28079
Phone (704) 635-0262

124 Unionville Indian Trail Rd W
Ste B4
Indian Trail, NC 28079

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1720486400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 UNIONVILLE INDIAN TRAIL RD W",
            "address_2": "SUITE B4",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 INDIAN TRAIL RD N",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280797808",
            "telephone_number": "704-635-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CHIRO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "NESHAT",
        "authorized_official_first_name": "MAZYAR",
        "authorized_official_title_or_position": "MEMBER & MANAGER",
        "authorized_official_telephone_number": "704-635-0262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.