Individual provider Active NPI

Fritz Junior Philippe, D.C

  • Chiropractor
  • Pembroke Pines, FL
National Provider Identifier
1033509450
Registry record updated Jan 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 11400 Issued in FL
Practice address
7901 NW 3Rd St
Apt 23204
Pembroke Pines, FL 33024-1282
Phone
(718) 717-9789
NPI assigned
Jan 24, 2015
Last updated
Jan 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 11400 FL Primary

Addresses

Primary practice location

7901 NW 3Rd St
Apt 23204
Pembroke Pines, FL 33024-1282

Mailing address

7901 NW 3Rd St
Apt 23204
Pembroke Pines, FL 33024-1282

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH 11400FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1422057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422057600000",
    "number": "1033509450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 NW 3RD ST",
            "address_2": "APT 23204",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330241282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 NW 3RD ST",
            "address_2": "APT 23204",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330241282",
            "telephone_number": "718-717-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPPE",
        "first_name": "FRITZ",
        "middle_name": "JUNIOR",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-24",
        "last_updated": "2015-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.