NPIMap

Organization Active NPI

Partners in Health F.O.R.M.E Medical and Rehab Centers, Inc

  • Chiropractor
  • Miami Shores, FL
National Provider Identifier
1558495259
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7398 Issued in FL
Legal business name
PARTNERS IN HEALTH F.O.R.M.E MEDICAL AND REHAB CENTERS, INC
Practice address
9730 NE 2ND Ave
Miami Shores, FL 33138-2311
Phone
(305) 758-7979
Fax
(305) 758-0034
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Mr. Henry Robert Sanon, DCNPI 1417032434
Title
Ceo/Physician
Phone
(305) 758-7979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH7398 FL Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH9614 FL
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X ME26113 FL

Addresses

Primary practice location

9730 NE 2ND Ave
Miami Shores, FL 33138-2311

Mailing address

9730 NE 2ND Ave
Miami Shores, FL 33138-2311
Phone (305) 758-7979

Other identifiers 1

IdentifierTypeStateIssuer
258983400MedicaidFL

Other names 1

  • Partners in Health Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1558495259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382311",
            "telephone_number": "305-758-7979",
            "fax_number": "305-758-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 NE 2ND AVE",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382311",
            "telephone_number": "305-758-7979",
            "fax_number": "305-758-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN HEALTH F.O.R.M.E MEDICAL AND REHAB CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "SANON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "305-758-7979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7398",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9614",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME26113",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258983400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Partners in Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.