Individual provider Active NPI

Elham Kaivan-Mehr, DC.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1760417927
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9455 Issued in TX
Practice address
8 Medical Pkwy
Suite 208
Dallas, TX 75234-7859
Phone
(972) 701-8181
Fax
(972) 701-8182
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9455 TX Primary

Addresses

Primary practice location

8 Medical Pkwy
Suite 208
Dallas, TX 75234-7859

Mailing address

8 Medical Pkwy
Suite 208
Dallas, TX 75234-7859
Phone (972) 701-8181

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
9455TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Injury Care Associates PA Chiropractor Past Accepting new patients
Juan Luis Zamora, M.D., P.a. PastSince Jul 24, 2022 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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1760417927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PKWY",
            "address_2": "SUITE 208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347859",
            "telephone_number": "972-701-8181",
            "fax_number": "972-701-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PKWY",
            "address_2": "SUITE 208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347859",
            "telephone_number": "972-701-8181",
            "fax_number": "972-701-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIVAN-MEHR",
        "first_name": "ELHAM",
        "credential": "DC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.