Individual provider Active NPI

Vasile G Faklis, CO, BOCO

  • Specialist
  • Tarpon Springs, FL
National Provider Identifier
1407916919
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ORT 84 Issued in FL
Practice address
139 E Tarpon Ave
Tarpon Springs, FL 34689-3451
Phone
(727) 938-1525
Fax
(727) 938-1669
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ORT 84 FL Primary

Addresses

Primary practice location

139 E Tarpon Ave
Tarpon Springs, FL 34689-3451

Mailing address

139 E Tarpon Ave
Tarpon Springs, FL 34689-3451
Phone (727) 938-1525

Other identifiers 2

IdentifierTypeStateIssuer
C13712OtherFLBOC ORTHOTIST
CO003703OtherFLABC ORTHOTIST

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

LicenseStateTypeSpecialty
ORT 84FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Faklis Orthopedic Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407916919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 E TARPON AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893451",
            "telephone_number": "727-938-1525",
            "fax_number": "727-938-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 E TARPON AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893451",
            "telephone_number": "727-938-1525",
            "fax_number": "727-938-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKLIS",
        "first_name": "VASILE",
        "middle_name": "G",
        "credential": "CO, BOCO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ORT 84",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC ORTHOTIST",
            "identifier": "C13712",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABC ORTHOTIST",
            "identifier": "CO003703",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.