Organization Active NPI

Dr C Chiropractic LLC

Doing business as Dr. C Chirpractic

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1033687702
Registry record updated Nov 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR C CHIROPRACTIC LLC
Doing business as
Dr. C Chirpractic
Practice address
416 SE 11TH CT
Ft Lauderdale, FL 33316-1144
Phone
(954) 464-7275
NPI assigned
Nov 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2018

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

Authorized official

Name
Dr. Richard Louis Carnivale Jr., DC
Title
Chiropractor
Phone
(954) 464-7275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

416 SE 11TH CT
Ft Lauderdale, FL 33316-1144

Mailing address

9015 NW 72ND St
Parkland, FL 33067-2616
Phone (954) 464-7275

Other names 1

  • Dr. C Chirpractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1541808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541808000000",
    "number": "1033687702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 NW 72ND ST",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330672616",
            "telephone_number": "954-464-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 SE 11TH CT",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161144",
            "telephone_number": "954-464-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR C CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-10",
        "last_updated": "2018-11-10",
        "status": "A",
        "authorized_official_last_name": "CARNIVALE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "954-464-7275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. C Chirpractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2018; 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.