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MAZYAR MICHAEL NESHAT D.C. P.A. NPI 1912002007


NPI Information

NPI: 1912002007
Provider Name: MAZYAR MICHAEL NESHAT, D.C., P.A.

Doing Business As: MAZ CLINIC OF CHIROPRACTIC

Classification: Chiropractor - 111NS0005X
Entity Type: Organization

Specialization: Sports Physician

Address:
616 INDIAN TRAIL RD S
INDIAN TRAIL, NC
ZIP 28079
Phone: (704) 821-7700
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MAZYAR MICHAEL NESHAT, D.C., P.A. 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. MAZYAR MICHAEL NESHAT, D.C., P.A. NPI is 1912002007. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Maz Clinic Of Chiropractic.

The provider's business location address is:

616 INDIAN TRAIL RD S
INDIAN TRAIL, NC
ZIP 28079-680
Phone: (704) 821-7700
Fax: (704) 821-7710

The provider's authorized official is Mazyar Michael Neshat .
The authorized official title is Owner and has the following contact phone number (704) 821-7700.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/22/2020.


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
1085EAOTHERNORTH CAROLINABCBS OF NC
25901819MEDICAIDNORTH CAROLINA
3618261OTHERNORTH CAROLINAUHC
4618261OTHERNORTH CAROLINACIGNA

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

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