Active NPI
Jonathan Moukhtafi
- Chiropractor
- Tampa, FL
National Provider Identifier
1710530977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12840
- Practice address
- 16210 Saint Michelle CT
Tampa, FL 33647-5100 - Phone
- (786) 280-2656
- NPI assigned
- Jul 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12840 | FL | Primary |
Addresses
Primary practice location
16210 Saint Michelle CT
Tampa, FL 33647-5100
Mailing address
16210 Saint Michelle CT
Tampa, FL 33647-5100
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12840 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1710530977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16210 SAINT MICHELLE CT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336475100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16210 SAINT MICHELLE CT",
"city": "TAMPA",
"state": "FL",
"postal_code": "336475100",
"telephone_number": "786-280-2656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUKHTAFI",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-17",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.