Individual provider Active NPI

Hamzi Mohamad Naserdean, D.C.

  • Chiropractor
  • Redford, MI
National Provider Identifier
1851842744
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010459 Issued in MI
Practice address
24350 Joy Rd Ste 1
Redford, MI 48239-1265
Phone
(313) 924-1234
Fax
(313) 924-1239
NPI assigned
Oct 17, 2016
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010459 MI Primary

Addresses

Primary practice location

24350 Joy Rd Ste 1
Redford, MI 48239-1265

Mailing address

24350 Joy Rd Ste 1
Redford, MI 48239-1265
Phone (313) 924-1234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180131002880 MI Practitioner - Chiropractic 5991065484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26031 W Warren St
Suite 1
Dearborn Heights, MI 48127-4716
Phone (313) 924-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010459MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
1St Choice Chiropractic PLLC Chiropractor CurrentSince Feb 26, 2019 Accepting new patients

Locations

26031 W Warren St
Ste 1
Dearborn Heights, MI 48127
Phone (313) 565-5800

24350 Joy Rd
Ste 1
Redford, MI 48239
Phone (313) 924-1234

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1851842744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24350 JOY RD STE 1",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391265",
            "telephone_number": "313-924-1234",
            "fax_number": "313-924-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24350 JOY RD STE 1",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391265",
            "telephone_number": "313-924-1234",
            "fax_number": "313-924-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASERDEAN",
        "first_name": "HAMZI",
        "middle_name": "MOHAMAD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.