Individual provider Active NPI

Darren Anthony Fano, DC

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1912071002
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8413 Issued in FL
Practice address
299 Camino Gardens Blvd
Suite 103
Boca Raton, FL 33432-5822
Phone
(561) 395-9299
Fax
(561) 395-7995
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8413 FL Primary

Addresses

Primary practice location

299 Camino Gardens Blvd
Suite 103
Boca Raton, FL 33432-5822

Mailing address

299 Camino Gardens Blvd
Suite 103
Boca Raton, FL 33432-5822
Phone (561) 395-9299

Other identifiers 3

IdentifierTypeStateIssuer
CH8413OtherFLLICENSE
562356078OtherFLTAX ID
79651OtherFLBC BS PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120224000626 FL Practitioner - Chiropractic 5597791392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

299 Camino Gardens Blvd
Boca Raton, FL 33432-5822
Phone (561) 395-9299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8413FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Chiropractic & Rehabilitation Inc Chiropractor CurrentSince Jun 15, 2003 Accepting new patients

Locations

299 Camino Gardens Blvd
Ste 103
Boca Raton, FL 33432
Phone (561) 395-9299

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1912071002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CAMINO GARDENS BLVD",
            "address_2": "SUITE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325822",
            "telephone_number": "561-395-9299",
            "fax_number": "561-395-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CAMINO GARDENS BLVD",
            "address_2": "SUITE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325822",
            "telephone_number": "561-395-9299",
            "fax_number": "561-395-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANO",
        "first_name": "DARREN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CH8413",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "562356078",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PIN",
            "identifier": "79651",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.