Individual provider Active NPI

Maryam Jafarieh, DC

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1942404231
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8598 Issued in FL
Practice address
1919 NE 45TH St Ste 219
Fort Lauderdale, FL 33308-5136
Phone
(954) 229-1995
Fax
(954) 667-7954
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8598 FL Primary

Addresses

Primary practice location

1919 NE 45TH St Ste 219
Fort Lauderdale, FL 33308-5136

Mailing address

5165 NW 11TH LN
Pompano Beach, FL 33064-8621
Phone (954) 554-4662

Other identifiers 1

IdentifierTypeStateIssuer
12146914OtherFLCAQH

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
CH8598FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1942404231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5165 NW 11TH LN",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330648621",
            "telephone_number": "954-554-4662",
            "fax_number": "954-229-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 NE 45TH ST STE 219",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085136",
            "telephone_number": "954-229-1995",
            "fax_number": "954-667-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFARIEH",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12146914",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.