Organization Active NPI

Gold Chiropractic PA

  • Chiropractor
  • Greenacres, FL
National Provider Identifier
1013106251
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006597 Issued in FL
Legal business name
GOLD CHIROPRACTIC PA
Practice address
4611 Lake Worth Rd
Greenacres, FL 33463-3451
Phone
(561) 967-2225
Fax
(561) 434-7777
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Authorized official

Name
Ronald Scott Gold, DC
Title
Owner
Phone
(561) 483-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH0006597 FL Primary

Addresses

Primary practice location

4611 Lake Worth Rd
Greenacres, FL 33463-3451

Mailing address

4611 Lake Worth Rd
Greenacres, FL 33463-3451
Phone (561) 967-2225

Other identifiers 1

IdentifierTypeStateIssuer
380795900MedicaidFL

National Provider Directory

National Provider Directory

Locations

309 Lake Ave
Lake Worth, FL 33460
Phone (561) 967-2225

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1013106251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633451",
            "telephone_number": "561-967-2225",
            "fax_number": "561-434-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633451",
            "telephone_number": "561-967-2225",
            "fax_number": "561-434-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-483-3900",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380795900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.