Individual provider Active NPI

Anthony Edward Faro III, B.S.,M.S.,D.C.,FIAMA

  • Chiropractor
  • Lake Wales, FL
National Provider Identifier
1497846596
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6181 Issued in FL
Practice address
100 S Scenic Hwy
Suite 105
Lake Wales, FL 33853-3827
Phone
(863) 676-2225
Fax
(863) 676-0698
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6181 FL Primary

Addresses

Primary practice location

100 S Scenic Hwy
Suite 105
Lake Wales, FL 33853-3827

Mailing address

100 S Scenic Hwy
Suite 105
Lake Wales, FL 33853-3827
Phone (863) 676-2225

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
Credentials
Bachelor of Science, Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1497846596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S SCENIC HWY",
            "address_2": "SUITE 105",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533827",
            "telephone_number": "863-676-2225",
            "fax_number": "863-676-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S SCENIC HWY",
            "address_2": "SUITE 105",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533827",
            "telephone_number": "863-676-2225",
            "fax_number": "863-676-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARO",
        "first_name": "ANTHONY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "B.S.,M.S.,D.C.,FIAMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.