Active NPI
Ibrahim Nasser, DC
- Chiropractor
- Boynton Beach, FL
National Provider Identifier
1942813985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH13023
- Practice address
- 1899 N Congress Ave Ste 9
Boynton Beach, FL 33426-8215 - Phone
- (561) 731-3361
- NPI assigned
- Aug 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH13023 | FL | Primary |
Addresses
Primary practice location
1899 N Congress Ave Ste 9
Boynton Beach, FL 33426-8215
Mailing address
7690 Ardwick Dr
Lake Worth, FL 33467-7716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH13023 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDR Advanced Medical Associates Inc | Chiropractor | Current | Accepting new patients |
Locations
1899 N Congress Ave
Ste 9
Boynton Beach, FL 33426
Phone (561) 573-6667
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.
-
- Chiropractor
- Boynton Beach, FL
- NPI 1326358375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1942813985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7690 ARDWICK DR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334677716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1899 N CONGRESS AVE STE 9",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268215",
"telephone_number": "561-731-3361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSER",
"first_name": "IBRAHIM",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-28",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH13023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.