Individual provider Active NPI

Joseph Nasim Salameh, D.C.

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1811314008
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 11115 Issued in FL
Practice address
8380 Baymeadows Rd
Unit 17 B
Jacksonville, FL 32256-4446
Phone
(904) 476-5778
NPI assigned
Mar 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 11115 FL Primary

Addresses

Primary practice location

8380 Baymeadows Rd
Unit 17 B
Jacksonville, FL 32256-4446

Mailing address

12068 Colby Creek Dr
Jacksonville, FL 32258-3314
Phone (904) 476-5778

Other identifiers 1

IdentifierTypeStateIssuer
1811314008MedicaidFL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 11115FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1811314008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12068 COLBY CREEK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322583314",
            "telephone_number": "904-476-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 BAYMEADOWS RD",
            "address_2": "UNIT 17 B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564446",
            "telephone_number": "904-476-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMEH",
        "first_name": "JOSEPH",
        "middle_name": "NASIM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811314008",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.