Individual provider Active NPI

Alexi Fakhari, D.C.

  • Sports Physician Chiropractor
  • Buffalo, NY
National Provider Identifier
1982622874
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH8900 Issued in FL
Practice address
295 Main St
Suite 118
Buffalo, NY 14203-2412
Phone
(716) 322-0290
Fax
(716) 322-0361
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X CH8900 FL Primary
Chiropractor 111N00000X X011485 NY

Addresses

Primary practice location

295 Main St
Suite 118
Buffalo, NY 14203-2412

Mailing address

295 Main St
Suite 118
Buffalo, NY 14203-2412
Phone (716) 322-0290

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
X011485NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Spine & Chiropractic PLLC Chiropractor Past Accepting new patients
Chiropractic Care of Palm Beach Inc Chiropractor PastSince Apr 1, 2005 Accepting new patients

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1982622874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 MAIN ST",
            "address_2": "SUITE 118",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032412",
            "telephone_number": "716-322-0290",
            "fax_number": "716-322-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MAIN ST",
            "address_2": "SUITE 118",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032412",
            "telephone_number": "716-322-0290",
            "fax_number": "716-322-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHARI",
        "first_name": "ALEXI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH8900",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.