Dr. Reza Ghassemi, D.C., P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9274 Issued in FL

Legal business name

DR. REZA GHASSEMI, D.C., P.A.

Practice address

5625 4TH St N
Suite 2B
St Petersburg, FL 33703-2260

Phone

(727) 519-7443

NPI assigned

Jan 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Reza Ghassemi, D.C.NPI 1780737932

Title

President

Phone

(727) 519-7443

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reza Ghassemi, D.C.

  • Chiropractor
  • St Petersburg, FL
  • NPI 1780737932
  NPD (past) Authorized official

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

{
    "created_epoch": "1389398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389398400000",
    "number": "1881016798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 4TH ST N",
            "address_2": "SUITE 2B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032260",
            "telephone_number": "727-519-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 4TH ST N",
            "address_2": "SUITE 2B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032260",
            "telephone_number": "727-519-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. REZA GHASSEMI, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-11",
        "last_updated": "2014-01-11",
        "status": "A",
        "authorized_official_last_name": "GHASSEMI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-519-7443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002090200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2014; 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.