Iman Motamed, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5035 Issued in NC

Practice address

515 W Main St
Mount Olive, NC 28365-1903

Phone

(919) 658-0003

Fax

(919) 658-0310

NPI assigned

Nov 4, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mt. Olive Chiropractic Clinic, P.C.Group PAC ID 3072604628, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mt. Olive Chiropractic Clinic, P.C.

  • Chiropractor
  • Mount Olive, NC
  • NPI 1285730697
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1912541822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W MAIN ST",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651903",
            "telephone_number": "919-658-0003",
            "fax_number": "919-658-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W MAIN ST",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651903",
            "telephone_number": "919-658-0003",
            "fax_number": "919-658-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTAMED",
        "first_name": "IMAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rickanesha McKinney, HAIR LOSS SP
• Patrick Michael McLaren, O.D.
• Edgbert Ray McLemore Jr., RPH
• Oscar Mojica
• Jessi Brooke Morgan, PHARMD
• Kiana Motamed, DC
• Massoud Motamed, D.C.
• Shanta Motamed, DC
• Mount Olive Physical Therapy LLC
• Mt Olive Family Medicine Center Inc

• Chiropractor in Mount Olive, NC
• Providers in Mount Olive, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.