MAZYAR MICHAEL NESHAT, D.C., P.A. (NPI# 1912002007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912002007 |
| Entity Type | Organization |
| Organization Name | MAZYAR MICHAEL NESHAT, D.C., P.A. |
| Other Organization Name | MAZ CLINIC OF CHIROPRACTIC |
| Practice Address |
616 Indian Trail Rd S Indian Trail NC 28079-9680 |
| Practice Telephone | 7048217700 |
| Practice Fax Number | 7048217710 |
| Mailing Telephone | 7048217700 |
| Mailing Fax Number | 7048217710 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MAZYAR MICHAEL NESHAT (OWNER) |
| Authorized Official Telephone | 7048217700 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
2976 | NC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS OF NC | 085EA | 01 |
| NC | 5901819 | 05 | |
| NC | UHC | 618261 | 01 |
| NC | CIGNA | 618261 | 01 |
| Other Name | Type Code |
|---|---|
| Maz Clinic of Chiropractic | Doing Business As Name - Organization |
| Street Address |
616 INDIAN TRAIL RD S |
| City | INDIAN TRAIL |
| State | NC |
| Zip Code | 28079-9680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576490 | John Monbarren | Chiropractor | 616 Indian Trail Rd S, Indian Trail, NC 28079-9680 | 2005-05-24 |
| 1992063861 | 30 Chiropractic | Chiropractor | 616 Indian Trail Rd S, Indian Trail, NC 28079-9680 | 2012-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992297485 | Carolina Cala | Community/Behavioral Health | 3817 Balsam St, Indian Trail, NC 28079 | 2018-05-31 |
| 1992294805 | Dr Patel & Associates, Pa | Clinic/Center | 6046 W Highway 74, Indian Trail, NC 28079 | 2018-05-07 |
| 1306389085 | Creative Counseling and Consulting, LLC | Counselor | 4389 Indian Trail-fairview Road, Indian Trail, NC 28079 | 2016-11-29 |
| 1922481381 | Aakar Gaurang Chokshi | Dentist | 5850 W Highway 74 Ste 135, Indian Trail, NC 28079 | 2015-07-02 |
| 1881944536 | Francy Johana Rodriguez | Naturopath | 124 Unionville Indian Trail Rd W Ste A9, Indian Trail, NC 28079 | 2012-09-10 |
| 1669767653 | Leigh Ann Zimmerman Tasillo | Psychologist | 124 Unionville-indian Trail Rd., Suite B3, Indian Trail, NC 28079 | 2011-06-17 |
| 1679715650 | Indian Trail Chiropractic & Rehabilitation, Pa | Chiropractor | 100 Park Road East, Indian Trail, NC 28079 | 2009-04-06 |
| 1003079518 | Shemeeka L Mcfadden | Optometrist | 5850 Us-74, Unit 116, Indian Trail, NC 28079 | 2008-07-03 |
| 1023290046 | Gary Lee Vaughn | Technician/Technologist | 622 Indian Trail Rd, Indian Trail, NC 28079 | 2007-11-30 |
| 1750574331 | Susana C Junco | Dentist | 136 Indian Trail Rd, Indian Trail, NC 28079 | 2007-08-27 |
| Find all providers in zip 28079 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801959580 | Gotro Chiropractic of Indian Trail | Chiropractor | 13803 Independence Blvd Ste E, Indian Trail, NC 28079-7680 | 2006-12-18 |
| 1609971878 | Mazyar Neshat | Chiropractor | 1001 Van Buren Ave Ste E, Indian Trail, NC 28079-5584 | 2006-09-13 |
| 1568529592 | Mazyar Neshat, D.c., P.a. | Chiropractor | 1001 Van Buren Ave Ste E, Indian Trail, NC 28079-5584 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811360803 | Ihm Sports Medicine | Chiropractor | 5490 S Miami Blvd Apt 207, Durham, NC 27703-8284 | 2015-11-12 |
| 1043626088 | Swiss Alliance, Inc. | Chiropractor | 976 Martin Luther King Jr Blvd Ste 100, Chapel Hill, NC 27514-2654 | 2014-07-10 |
| 1770728032 | Pierre-yves Philippe Dubois | Chiropractor | 976 Martin Luther King Jr Blvd Ste 101, Chapel Hill, NC 27514-2654 | 2008-12-15 |
| 1639350556 | Charles P Hecht Dc Pa | Chiropractor | 1812 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-7415 | 2007-11-20 |
| 1710170808 | Eric David Bryant | Chiropractor | 8041 Corporate Center Drive, Suite 100, Charlotte, NC 28226-4553 | 2007-08-22 |
| 1629137369 | Matthew Brian Horvath | Chiropractor | 112 N Winstead Ave, Rocky Mount, NC 27804-2235 | 2006-12-08 |
| 1184783367 | Arnie Wynn | Chiropractor | 610 E 7th St, Suite 2a, Charlotte, NC 28202-2923 | 2006-12-06 |
| 1891862025 | Bonnie Smithyman Baird | Chiropractor | 320 N Judd Prkwy Ne, Ste 102, Fuquay Varina, NC 27526 | 2006-11-30 |
| 1417026774 | Thomas Raleigh Forrest | Chiropractor | 102 W 32nd St, Lumberton, NC 28358-2925 | 2006-11-08 |
| 1821168725 | Timothy Patrick Clare | Chiropractor | 13209 Carowinds Blvd Ste G, Charlotte, NC 28273-6735 | 2006-11-08 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN TRAIL |
| Zip Code | 28079 |
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| 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.