Individual provider Active NPI

Babush Faridi, DC

  • Chiropractor
  • Houston, TX
National Provider Identifier
1487816815
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10305 Issued in TX
Practice address
11903 Katy Fwy
Houston, TX 77079-1601
Phone
(281) 556-5200
Fax
(281) 556-5251
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10305 TX Primary
Nutrition Chiropractor 111NN1001X 10305 TX

Addresses

Primary practice location

11903 Katy Fwy
Houston, TX 77079-1601

Mailing address

11903 Katy Fwy
Houston, TX 77079-1601
Phone (281) 556-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180305001948 TX Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 2163783366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10305TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Clinic, 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.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1487816815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11903 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791601",
            "telephone_number": "281-556-5200",
            "fax_number": "281-556-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11903 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791601",
            "telephone_number": "281-556-5200",
            "fax_number": "281-556-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIDI",
        "first_name": "BABUSH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10305",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "10305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.