Individual provider Active NPI

Adam Sidi Lemnouni, DC

  • Chiropractor
  • Flagler Beach, FL
National Provider Identifier
1669635488
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9565 Issued in FL
Practice address
1240 S Oceanshore Blvd
Flagler Beach, FL 32136-3703
Phone
(386) 439-9001
Fax
(386) 439-9002
NPI assigned
Jul 2, 2008
Last updated
Aug 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9565 FL Primary

Addresses

Primary practice location

1240 S Oceanshore Blvd
Flagler Beach, FL 32136-3703

Mailing address

1240 S Oceanshore Blvd
Flagler Beach, FL 32136-3703
Phone (386) 439-9001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100105000219 FL Practitioner - Chiropractic 1658412267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1240 S Ocean Shore Blvd
Flagler Beach, FL 32136-3703

1240 S Oceanshore Blvd
Flagler Beach, FL 32136-3703
Phone (386) 439-9001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH9565FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Chiropractic PA Chiropractor CurrentSince Sep 14, 2009 Accepting new patients

Locations

1240 S Ocean Shore Blvd
Flagler Beach, FL 32136
Phone (386) 276-6163

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, 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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1669635488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 S OCEANSHORE BLVD",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363703",
            "telephone_number": "386-439-9001",
            "fax_number": "386-439-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S OCEANSHORE BLVD",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363703",
            "telephone_number": "386-439-9001",
            "fax_number": "386-439-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMNOUNI",
        "first_name": "ADAM",
        "middle_name": "SIDI",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagler Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.