Adam Sidi Lemnouni, DC
Individual provider Active NPI Chiropractor · Flagler Beach, FL
NPI 1669635488 · NPPES record last updated Aug 27, 2012
Key facts
- NPI
- 1669635488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH9565 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100105000219 | FL | Practitioner - Chiropractic | 1658412267 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9565 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flagler Chiropractic PA | Chiropractor | Current |
Accepting new patients |
Locations
1240 S Ocean Shore Blvd
Flagler Beach, FL 32136
Phone (386) 276-6163
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH9565 | FL | Yes |
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
Other providers in Flagler Beach, FL
- Kemp Bradley Kirk I
- Mary A Lange
- Linda S Lazear
- Richard Lehman
- Ellen Lemmon
- Sidi M Lemnouni
- Lewes Counseling LLC
- Lucie Little
- Steve Eldon Livingston
- Christina M Machado
All providers in Flagler Beach, FL · Chiropractor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.