NPIMap

Organization Active NPI

Fakhoury Medical & Chiropractic Center PLLC

  • Chiropractor
  • Ocala, FL
National Provider Identifier
1144458480
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4912 Issued in FL
Legal business name
FAKHOURY MEDICAL & CHIROPRACTIC CENTER PLLC
Practice address
1009 SW 17TH St
Ocala, FL 34471-1229
Phone
(352) 351-3413
Fax
(352) 629-6667
NPI assigned
Jun 25, 2009
Last updated
Oct 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Dr. Riadh A FakhouryNPI 1730119637
Title
Owner
Phone
(352) 351-3413

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH4912 FL Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH8727 FL
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH10017 FL
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH9421 FL
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AP2307 FL
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME95990 FL
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X ME49250 FL

Addresses

Primary practice location

1009 SW 17TH St
Ocala, FL 34471-1229

Mailing address

1009 SW 17TH St
Ocala, FL 34471-1229
Phone (352) 351-3413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091116000184 FL Part B Supplier - Clinic/Group Practice 8628116464 Receives reassigned benefits from 11 practitioners
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1144458480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 SW 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711229",
            "telephone_number": "352-351-3413",
            "fax_number": "352-629-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 SW 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711229",
            "telephone_number": "352-351-3413",
            "fax_number": "352-629-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAKHOURY MEDICAL & CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "FAKHOURY",
        "authorized_official_first_name": "RIADH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-351-3413",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4912",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8727",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10017",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9421",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP2307",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME95990",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "FL",
            "license": "ME49250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.

Verify at the official NPI Registry.