Active NPI
Deena Hakim, D.C.
- Chiropractor
- Pacific Grove, CA
National Provider Identifier
1295881506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 28078
- Practice address
- 222 Forest Ave
Pacific Grove, CA 93950-3319 - Phone
- (831) 747-4578
- Fax
- (831) 375-5562
- NPI assigned
- Jan 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | DC 28078 | CA | Primary |
Addresses
Primary practice location
222 Forest Ave
Pacific Grove, CA 93950-3319
Mailing address
222 Forest Ave
Pacific Grove, CA 93950-3319
Phone (831) 747-4578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051031001015 | CA | Practitioner - Chiropractic | 1658361092 | Practice locations: Pacific Grove, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
222 Forest Ave
Pacific Grove, CA 93950-3319
Phone (831) 747-4578
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 28078 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospine, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Point of Service
- Phoenix, AZ
- NPI 1013113976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1295881506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 FOREST AVE",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939503319",
"telephone_number": "831-747-4578",
"fax_number": "831-375-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 FOREST AVE",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939503319",
"telephone_number": "831-747-4578",
"fax_number": "831-375-5562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKIM",
"first_name": "DEENA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-27",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 28078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pacific Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.