Active NPI
Michael Fahim, DC
- Chiropractor
- Clearwater, FL
National Provider Identifier
1235669441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12075
- Practice address
- 2520 N McMullen Booth Rd.
Ste B #307
Clearwater, FL 33761-4181 - Phone
- (727) 753-9355
- NPI assigned
- Jun 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12075 | FL | Primary |
Addresses
Primary practice location
2520 N McMullen Booth Rd.
Ste B #307
Clearwater, FL 33761-4181
Mailing address
2520 N McMullen Booth Rd.
Ste B #307
Clearwater, FL 33761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12075 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497916800000",
"number": "1235669441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 N MCMULLEN BOOTH RD.",
"address_2": "STE B #307",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 N MCMULLEN BOOTH RD.",
"address_2": "STE B #307",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337614181",
"telephone_number": "727-753-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHIM",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-20",
"last_updated": "2017-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.