Active NPI
Afshin Shirinzadeh, D.C.
- Sports Physician Chiropractor
- Austell, GA
National Provider Identifier
1760789705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 007172
- Practice address
- 4386 Stonecrest Dr
Austell, GA 30106-8203 - Phone
- (678) 314-4088
- NPI assigned
- Feb 25, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007172 | GA | |
| Pediatric Chiropractor | 111NP0017X | 007172 | GA | |
| Rehabilitation Chiropractor | 111NR0400X | 007172 | GA | |
| Sports Physician Chiropractor | 111NS0005X | 007172 | GA | Primary |
Addresses
Primary practice location
4386 Stonecrest Dr
Austell, GA 30106-8203
Mailing address
4386 Stonecrest Dr
Austell, GA 30106-8203
Phone (678) 314-4088
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007172 | GA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1760789705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4386 STONECREST DR",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301068203",
"telephone_number": "678-314-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4386 STONECREST DR",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301068203",
"telephone_number": "678-314-4088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRINZADEH",
"first_name": "AFSHIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-25",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "007172",
"primary": false
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "GA",
"license": "007172",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "007172",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "GA",
"license": "007172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.