Nicolas Wadih Fakhoury, DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0014291 Issued in FL

Practice address

1100 Linton Blvd
Ste C5
Delray Beach, FL 33444

Phone

(561) 278-4475

Fax

(561) 278-3484

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942332309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LINTON BLVD",
            "address_2": "STE C5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33444",
            "telephone_number": "561-278-4475",
            "fax_number": "561-278-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LINTON BLVD",
            "address_2": "STE C5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33444",
            "telephone_number": "561-278-4475",
            "fax_number": "561-278-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHOURY",
        "first_name": "NICOLAS",
        "middle_name": "WADIH",
        "name_prefix": "Dr.",
        "credential": "DMD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0014291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F. Lurie, M.D., P.a.
• Kyle Fabel, MS, CCC-SLP
• Jaimie Fabricant, DO
• Alia Facey
• Robin Faiola
• Elizabeth Eve Falchook, M.D.
• Falk Prosthetics & Orthotics, Inc.
• Gianna Falzone
• Family Behavioral Center, Inc.
• Family Health Care of Delray, Inc.

• General Practice Dentistry in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.