Organization Active NPI

Jamal a Fakhoury DC PA

  • Chiropractor
  • Crystal River, FL
National Provider Identifier
1083809842
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4298 Issued in FL
Legal business name
JAMAL A FAKHOURY DC PA
Practice address
2320 N Sunshine Path
Crystal River, FL 34428-5810
Phone
(352) 795-5350
Fax
(352) 795-7487
NPI assigned
Sep 13, 2007
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jamal A Fakhoury, DCNPI 1255439949
Title
Owner/Physician
Phone
(352) 795-5350

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH4298 FL Primary

Addresses

Primary practice location

2320 N Sunshine Path
Crystal River, FL 34428-5810

Mailing address

2320 N Sunshine Path
Crystal River, FL 34428-5810
Phone (352) 795-5350

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1083809842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 N SUNSHINE PATH",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344285810",
            "telephone_number": "352-795-5350",
            "fax_number": "352-795-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 N SUNSHINE PATH",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344285810",
            "telephone_number": "352-795-5350",
            "fax_number": "352-795-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAL A FAKHOURY DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "FAKHOURY",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "352-795-5350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.