Active NPI
Charles Srour, DC
- Chiropractor
- North Miami, FL
National Provider Identifier
1396741559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8667
- Practice address
- 1948 NE 123Rd St
Ste 107
North Miami, FL 33181-2800 - Phone
- (305) 891-2520
- Fax
- (305) 891-5754
- NPI assigned
- Jun 22, 2005
- 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 | CH8667 | FL | Primary |
Addresses
Primary practice location
1948 NE 123Rd St
Ste 107
North Miami, FL 33181-2800
Mailing address
1948 NE 123Rd St
Ste 107
North Miami, FL 33181-2800
Phone (305) 891-2520
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH8667 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Health Care Inc | Chiropractor | 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.
-
- Chiropractor
- North Miami, FL
- NPI 1972502912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1396741559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1948 NE 123RD ST",
"address_2": "STE 107",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812800",
"telephone_number": "305-891-2520",
"fax_number": "305-891-5754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1948 NE 123RD ST",
"address_2": "STE 107",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812800",
"telephone_number": "305-891-2520",
"fax_number": "305-891-5754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SROUR",
"first_name": "CHARLES",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.