Individual provider Active NPI

Harout Tchoulhakian, D.C.

  • Chiropractor
  • Deerfield Beach, FL
National Provider Identifier
1831520311
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14114 Issued in FL
Practice address
3836 W Hillsboro Blvd
Deerfield Beach, FL 33442-9413
Phone
(954) 421-2355
Fax
(954) 421-6455
NPI assigned
Dec 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00724100 NJ
Chiropractor 111N00000X 5849 MN
Chiropractor 111N00000X CH14114 FL Primary

Addresses

Primary practice location

3836 W Hillsboro Blvd
Deerfield Beach, FL 33442-9413

Mailing address

3836 W Hillsboro Blvd
Deerfield Beach, FL 33442-9413
Phone (954) 421-2355

Other practice location 1

784 Franklin Ave Ste 250
Franklin Lakes, NJ 07417
Phone (844) 777-0910

Other practice location 2

784 Franklin Ave Ste 250
Franklin Lakes, NJ 07417
Phone (844) 777-0910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221205000215 FL Practitioner - Chiropractic 7810217312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3836 W Hillsboro Blvd
Deerfield Beach, FL 33442-9413
Phone (818) 749-8523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14114FLMDChiropractor
5849MNMDChiropractor
38MC00724100NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Sports LLC Chiropractor CurrentSince Oct 11, 2022 Accepting new patients
Spine and Sport Health Inc PastSince Feb 8, 2016 Accepting new patients

Locations

3836 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 421-2355

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1831520311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3836 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429413",
            "telephone_number": "954-421-2355",
            "fax_number": "954-421-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3836 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429413",
            "telephone_number": "954-421-2355",
            "fax_number": "954-421-6455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "784 Franklin Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Franklin Lakes",
            "state": "NJ",
            "postal_code": "07417",
            "country_code": "US",
            "telephone_number": "844-777-0910",
            "fax_number": "201-560-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "784 Franklin Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Franklin Lakes",
            "state": "NJ",
            "postal_code": "07417",
            "country_code": "US",
            "telephone_number": "844-777-0910",
            "fax_number": "201-560-0712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TCHOULHAKIAN",
        "first_name": "HAROUT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-09",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00724100",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5849",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.