Individual provider Active NPI

Motahar Qaadri, D.C.

  • Chiropractor
  • Conroe, TX
National Provider Identifier
1831131374
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13665 Issued in TX
Practice address
500 Medical Center Blvd Ste 220
Conroe, TX 77304-2800
Phone
(832) 403-3116
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC008839 PA
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 13665 TX Primary

Addresses

Primary practice location

500 Medical Center Blvd Ste 220
Conroe, TX 77304-2800

Mailing address

11030 Lost Stone Dr
Tomball, TX 77375-0076
Phone (215) 630-8712

Other practice location 1

1609 Woodbourne Rd
Suite 201A
Levittown, PA 19057-1500
Phone (215) 943-6300

Other practice location 2

1609 Woodbourne Rd
Suite 201A
Levittown, PA 19057-1500
Phone (215) 943-6300

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
DC008839PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
I M Health and Wellness Center Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831131374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 LOST STONE DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773750076",
            "telephone_number": "215-630-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD STE 220",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042800",
            "telephone_number": "832-403-3116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 Woodbourne Rd",
            "address_2": "Suite 201A",
            "address_purpose": "LOCATION",
            "city": "Levittown",
            "state": "PA",
            "postal_code": "190571500",
            "country_code": "US",
            "telephone_number": "215-943-6300",
            "fax_number": "215-943-1370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1609 Woodbourne Rd",
            "address_2": "Suite 201A",
            "address_purpose": "LOCATION",
            "city": "Levittown",
            "state": "PA",
            "postal_code": "190571500",
            "country_code": "US",
            "telephone_number": "215-943-6300",
            "fax_number": "215-943-1370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QAADRI",
        "first_name": "MOTAHAR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008839",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.