Organization Active NPI

Roya Khodaparast DC PC

  • Chiropractor
  • Mesquite, TX
National Provider Identifier
1770814683
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11351 Issued in TX
Legal business name
ROYA KHODAPARAST DC PC
Practice address
2007 N Galloway Ave
Mesquite, TX 75149-1552
Phone
(972) 285-0010
Fax
(972) 285-0295
NPI assigned
Jan 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Dr. Roya Khodaparast, DCNPI 1124359039
Title
Owner
Phone
(972) 285-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 11351 TX Primary

Addresses

Primary practice location

2007 N Galloway Ave
Mesquite, TX 75149-1552

Mailing address

2007 N Galloway Ave
Mesquite, TX 75149-1552
Phone (972) 285-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100525001022 TX Part B Supplier - Clinic/Group Practice 7517096845 Receives reassigned benefits from 1 practitioner
Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1770814683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491552",
            "telephone_number": "972-285-0010",
            "fax_number": "972-285-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491552",
            "telephone_number": "972-285-0010",
            "fax_number": "972-285-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYA KHODAPARAST DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "KHODAPARAST",
        "authorized_official_first_name": "ROYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-285-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.