NPIMap

Organization Active NPI

Premier Chiropractic and Rehabilitation Center LLC

  • Rehabilitation Chiropractor
  • Baltimore, MD
National Provider Identifier
1831257096
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
S03399 Issued in MD
Legal business name
PREMIER CHIROPRACTIC AND REHABILITATION CENTER LLC
Practice address
22 E 25TH St
Baltimore, MD 21218-5142
Phone
(410) 235-6280
Fax
(410) 235-6281
NPI assigned
Dec 4, 2006
Last updated
May 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Dr. Mohammad Farazdaghi, D.C
Title
President
Phone
(410) 235-6280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X S03399 MD Primary

Addresses

Primary practice location

22 E 25TH St
Baltimore, MD 21218-5142

Mailing address

22 E 25TH St
Baltimore, MD 21218-5142
Phone (410) 235-6280

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1831257096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185142",
            "telephone_number": "410-235-6280",
            "fax_number": "410-235-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E 25TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185142",
            "telephone_number": "410-235-6280",
            "fax_number": "410-235-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHIROPRACTIC AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "FARAZDAGHI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-235-6280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S03399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.