NPIMap

Organization Active NPI

Fahma Health and Wellness Center LLC

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1245956952
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FAHMA HEALTH AND WELLNESS CENTER LLC
Practice address
3801 SW Hall Blvd
Beaverton, OR 97005-2049
Phone
(503) 601-0056
Fax
(503) 419-6068
NPI assigned
Oct 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Dr. Behireta Corbadzic, DCNPI 1770102956
Title
Doctor/Ovner
Phone
(720) 936-0879

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 Primary

Addresses

Primary practice location

3801 SW Hall Blvd
Beaverton, OR 97005-2049

Mailing address

3801 SW Hall Blvd
Beaverton, OR 97005-2049
Phone (503) 601-0056

Other names 1

  • FAHMA Wellness Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3801 SW Hall Blvd
Beaverton, OR 97005
Phone (503) 601-0056

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1245956952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052049",
            "telephone_number": "503-601-0056",
            "fax_number": "503-419-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052049",
            "telephone_number": "503-601-0056",
            "fax_number": "503-419-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAHMA HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "CORBADZIC",
        "authorized_official_first_name": "BEHIRETA",
        "authorized_official_title_or_position": "DOCTOR/OVNER",
        "authorized_official_telephone_number": "720-936-0879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAHMA Wellness Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.