Individual provider Active NPI

Seyed Hessam Khatami, D.C.

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1659509891
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9743 Issued in FL
Practice address
7815 NW Beacon Square Blvd Ste 101
Boca Raton, FL 33487-1345
Phone
(561) 455-4850
Fax
(561) 995-0138
NPI assigned
Jun 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9743 FL Primary

Addresses

Primary practice location

7815 NW Beacon Square Blvd Ste 101
Boca Raton, FL 33487-1345

Mailing address

7815 NW Beacon Square Blvd Ste 101
Boca Raton, FL 33487-1345
Phone (561) 455-4850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000489 FL Practitioner - Chiropractic 5294869830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Grove Chiropractic and Rehabilitation, Inc.Group PAC ID 6204960842, 2 clinicians

Practice addresses (Care Compare)

7815 NW Beacon Square Blvd
Suite 101
Boca Raton, FL 33487-1345
Phone (561) 455-4850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
FTX New Jersey LLC Chiropractor Current Accepting new patients
Functional Rehab Solutions, LLC Chiropractor Current Accepting new patients
Atlantic Grove Chiropractic & Rehabilitation, Inc. Chiropractor CurrentSince Mar 9, 2010 Accepting new patients

Locations

7815 NW Beacon Square Blvd
Ste 101
Boca Raton, FL 33487
Phone (561) 455-4850

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1659509891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 NW BEACON SQUARE BLVD STE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871345",
            "telephone_number": "561-455-4850",
            "fax_number": "561-995-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 NW BEACON SQUARE BLVD STE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871345",
            "telephone_number": "561-455-4850",
            "fax_number": "561-995-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATAMI",
        "first_name": "SEYED",
        "middle_name": "HESSAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2023-11-28",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.