Organization Active NPI

Central Avenue Yousefi Chiropractic Clinic PC

  • Chiropractor
  • Capitol Heights, MD
National Provider Identifier
1790077428
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01513 Issued in MD
Legal business name
CENTRAL AVENUE YOUSEFI CHIROPRACTIC CLINIC PC
Practice address
31 Yost PL
Capitol Heights, MD 20743-2071
Phone
(301) 324-8750
NPI assigned
May 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Dr. Mohammad Yousefi, D.C.
Title
Director
Phone
(301) 324-8750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01513 MD Primary

Addresses

Primary practice location

31 Yost PL
Capitol Heights, MD 20743-2071

Mailing address

31 Yost PL
Capitol Heights, MD 20743-2071
Phone (301) 324-8750

National Provider Directory

National Provider Directory

Locations

31 Yost Pl
Capitol Heights, MD 20743
Phone (301) 324-8750

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": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1790077428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 YOST PL",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207432071",
            "telephone_number": "301-324-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 YOST PL",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207432071",
            "telephone_number": "301-324-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL AVENUE YOUSEFI CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "YOUSEFI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-324-8750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.