DR. JOHN JACK FAKHOURI DC
NPI 1346029279
Chiropractor in Lake Worth, FL

Active since September 28, 2023Accepts Medicare Assignment
7012 CHARLESTON SHORES BLVD, LAKE WORTH, FL 33467(561) 969-8284 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2025, Jun 23, 2025, Oct 7, 2024 and 1 more (4 updates tracked since 2024).

About Dr. John Jack Fakhouri Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN JACK FAKHOURI DC (NPI 1346029279) is an individual chiropractor in Lake Worth, Florida, licensed in Florida (CH14604) and active in the NPI registry since September 2023. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1346029279
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOHN JACK FAKHOURICredential: DC
Location Address7012 CHARLESTON SHORES BLVDLake Worth, FL 33467-7628
Mailing Address7012 Charleston Shores BlvdLake Worth, FL 33467-7628 · (561) 420-9791
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 28, 2023
Last NPPES UpdateJuly 7, 20254 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
NPI 1346029279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in FL · CH14604
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

7012 CHARLESTON SHORES BLVD, Lake Worth, FL 33467

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Jack Fakhouri Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173036845
PECOS Enrollment IDI20250627000647

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346029279, enumerated as an "individual" on September 28, 2023.

The provider is located at 7012 CHARLESTON SHORES BLVD LAKE WORTH, FL 33467 and the phone number is (561) 969-8284.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Providence Health Plan and Wellpoint. Please consult your insurance carrier or call the provider to verify.