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DR. MAZYAR NESHAT D.C. NPI 1609971878


NPI Information

NPI: 1609971878
Provider Name: DR. MAZYAR NESHAT, D.C.
Classification: Chiropractor - 111NS0005X
Entity Type: Individual

Specialization: Sports Physician

Address:
1001 VAN BUREN AVE STE E
INDIAN TRAIL, NC
ZIP 28079
Phone: (704) 882-2255
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DR. Mazyar Neshat, D.C. is a sports physician chiropractor in Indian Trail, NC. The provider is 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. DR. Mazyar Neshat, D.C. NPI is 1609971878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 VAN BUREN AVE STE E
INDIAN TRAIL, NC
ZIP 28079-584
Phone: (704) 882-2255
Fax: (704) 882-2252

The enumeration date for this NPI number is 9/13/2006 and was last updated on 10/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NS0005XChiropractorSports Physician2976NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12454185MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
289085EAMEDICAIDNORTH CAROLINA
3618261OTHERNORTH CAROLINACIGNA
4085EAOTHERNORTH CAROLINABCBS OF NC
5618261OTHERNORTH CAROLINAUHC
6U93079MEDICARE UPINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.