Individual provider Active NPI

Jamal A Fakhoury, D.C., F.A.C.O.

  • Chiropractor
  • Ocala, FL
National Provider Identifier
1255439949
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4298 Issued in FL
Practice address
4710 SE 37TH St
Ocala, FL 34480-9037
Phone
(352) 266-6199
NPI assigned
Sep 20, 2006
Last updated
Mar 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH4298 FL Primary

Addresses

Primary practice location

4710 SE 37TH St
Ocala, FL 34480-9037

Mailing address

4710 SE 37TH St
Ocala, FL 34480-9037
Phone (352) 266-6199

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH4298FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jamal a Fakhoury DC PA Chiropractor PastSince Jan 1, 1999 Accepting new patients
Dr Riadh a Fakhoury DC PA Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1255439949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 SE 37TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344809037",
            "telephone_number": "352-266-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 SE 37TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344809037",
            "telephone_number": "352-266-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHOURY",
        "first_name": "JAMAL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C., F.A.C.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4298",
            "primary": true
        }
    ],
    "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 Mar 6, 2013; 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.