Active NPI
Flagler Chiropractic PA
- Chiropractor
- Flagler Beach, FL
National Provider Identifier
1073519864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- FLAGLER CHIROPRACTIC PA
- Practice address
- 1240 South Aia
Flagler Beach, FL 32136 - Phone
- (386) 439-9001
- Fax
- (386) 439-9002
- NPI assigned
- Jun 27, 2005
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sidi M Lemnouni, DC
- Title
- Chiropractic Physician
- Phone
- (386) 439-9001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | FL | Primary |
Addresses
Primary practice location
1240 South Aia
Flagler Beach, FL 32136
Mailing address
1240 South Aia
Flagler Beach, FL 32136
Phone (386) 439-9001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22770 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1240 S Ocean Shore Blvd
Flagler Beach, FL 32136
Phone (386) 276-6163
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Flagler Beach, FL
- NPI 1669635488
-
- Chiropractor
- Flagler Beach, FL
- NPI 1942390323
-
- Chiropractor
- Palm Coast, FL
- NPI 1417492075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1073519864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 SOUTH AIA",
"city": "FLAGLER BEACH",
"state": "FL",
"postal_code": "32136",
"telephone_number": "386-439-9001",
"fax_number": "386-439-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 SOUTH AIA",
"city": "FLAGLER BEACH",
"state": "FL",
"postal_code": "32136",
"telephone_number": "386-439-9001",
"fax_number": "386-439-9002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLAGLER CHIROPRACTIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LEMNOUNI",
"authorized_official_first_name": "SIDI",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
"authorized_official_telephone_number": "386-439-9001",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "22770",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flagler Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.