Individual provider Active NPI

Sayed Naweed Miry, DC

  • Chiropractor
  • San Ramon, CA
National Provider Identifier
1831678770
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34094 Issued in CA
Practice address
500 Bollinger Canyon Way Ste A15
San Ramon, CA 94582-5297
Phone
(925) 301-7739
NPI assigned
Aug 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34094 CA Primary

Addresses

Primary practice location

500 Bollinger Canyon Way Ste A15
San Ramon, CA 94582-5297

Mailing address

1031 Rolling Woods Way
Concord, CA 94521-5423
Phone (925) 301-7739

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916003033 CA Practitioner - Chiropractic 0547599557 Reassigns benefits to 1 organization
Practice locations: San Ramon, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Bollinger Canyon Way
Suite A15
San Ramon, CA 94582-5297
Phone (925) 828-0616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Miry Chiropractic, Inc. Chiropractor CurrentSince Feb 8, 2022 Accepting new patients

Locations

500 Bollinger Canyon Way
Ste A15
San Ramon, CA 94582
Phone (925) 735-8508

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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1831678770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 ROLLING WOODS WAY",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945215423",
            "telephone_number": "925-301-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BOLLINGER CANYON WAY STE A15",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825297",
            "telephone_number": "925-301-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRY",
        "first_name": "SAYED",
        "middle_name": "NAWEED",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.