MAHLA MOHSENZADEH (NPI# 1760009229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760009229 |
| Entity Type | Individual |
| Full Name | MAHLA MOHSENZADEH |
| Practice Address |
4215 N Classen Blvd Ste 103 Oklahoma City OK 73118-2426 |
| Practice Telephone | 4056737856 |
| Practice Fax Number | 6193747045 |
| Mailing Telephone | 4056737856 |
| Mailing Fax Number | 6193747045 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4276 | OK | Chiropractic Providers |
| N | 111NN0400X |
Chiropractor Specialization: Neurology |
4276 | OK | Chiropractic Providers |
| N | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
4276 | OK | Chiropractic Providers |
| Street Address |
4215 N CLASSEN BLVD STE 103 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73118-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1740842327 | Revive Health of Oklahoma LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118-2426 | 2019-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812772 | Karrie Danea Moreno | Behavior Technician | 1507 Ne 31st, Oklahoma, OK 73118 | 2018-08-23 |
| 1225556228 | Anika Carr | Case Manager/Care Coordinator | 1212 Nw 32nd Street, Oklahoma City, OK 73118 | 2017-08-30 |
| 1740635168 | Nikhil Malhotra | Internal Medicine | 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 | 2016-05-04 |
| 1144694183 | Christopher Woon | Counselor | 4001 N Classen, Suite 105, Oklahoma City, OK 73118 | 2015-11-13 |
| 1699181925 | Stac Embry | Counselor | 3321 N. Mckinley Ave, Oklahoma City, OK 73118 | 2014-07-08 |
| 1194161216 | Jennifer Kaye Powers | Counselor | 3124 N. Classen Blvd., Ste. A, Oklahoma City, OK 73118 | 2013-05-15 |
| 1932445491 | Jessica Camp | Behavioral Analyst | 3220 N Harvey Pkwy, Oklahoma City, OK 73118 | 2013-01-02 |
| 1942578661 | Michael D Danielson | Behavioral Analyst | 4232 N Sante Fe Ave, Oklahoma City, OK 73118 | 2011-12-08 |
| 1912280587 | Tara Roberts | Counselor | 1743 Nw 37th, Oklahoma City, OK 73118 | 2011-09-21 |
| 1790066769 | Jimmy Early Jr. | Counselor | 4801 Nw Classen, Suite #233, Oklahoma City, OK 73118 | 2011-09-06 |
| Find all providers in zip 73118 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222715 | Chirothere, LLC | Chiropractor | 4416 N Western Ave Ste 205b, Oklahoma City, OK 73118-5256 | 2020-07-20 |
| 1790315547 | Kyle Brent Babcock | Chiropractor | 4900 Richmond Sq Ste 108, Oklahoma City, OK 73118-2043 | 2020-01-21 |
| 1518506310 | Daniel S Holt | Chiropractor | 13838 Quail Pointe Dr Ste A, Oklahoma City, OK 73134-1003 | 2019-12-27 |
| 1982168167 | Young Life Chiropractic Pllc | Chiropractor | 600 Nw 23rd St Ste 102, Oklahoma City, OK 73103-1464 | 2019-01-22 |
| 1134692973 | Gregory S Mendiaz | Chiropractor | 13325 N Macarthur Blvd Ste 5, Oklahoma City, OK 73142-3091 | 2019-01-04 |
| 1528536034 | Aaron Burk | Chiropractor | 2563 W Memorial Rd, Oklahoma City, OK 73134-8030 | 2018-11-02 |
| 1003383829 | Dana Denise Mahan | Chiropractor | 2316 Sw 102nd St, Oklahoma City, OK 73159-7539 | 2018-10-30 |
| 1225504459 | Dme Orthotics, LLC | Chiropractor | 10802 Quail Plaza Dr Ste 300b, Oklahoma City, OK 73120-3122 | 2018-10-15 |
| 1063998128 | Blake Alan Matlock | Chiropractor | 8901 S Santa Fe Ave Ste A, Oklahoma City, OK 73139-8413 | 2018-07-12 |
| 1518464833 | Focus Chiropractic Pllc | Chiropractor | 9101 S Western Ave Ste 112, Oklahoma City, OK 73139-2757 | 2018-04-12 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73118 |
Please comment or provide details below to improve the information on MAHLA MOHSENZADEH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.