Organization Active NPI

Well-Rooted Family Chiropractic LLC

  • Chiropractor
  • Davie, FL
National Provider Identifier
1053058362
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELL-ROOTED FAMILY CHIROPRACTIC LLC
Practice address
4900 S University Dr Ste 201
Davie, FL 33328-3811
Phone
(954) 866-9378
NPI assigned
May 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Sylvain Valcourt, D.C.
Title
President
Phone
(954) 866-9378

Specialties & licenses 1

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

Addresses

Primary practice location

4900 S University Dr Ste 201
Davie, FL 33328-3811

Mailing address

4900 S University Dr Ste 201
Davie, FL 33328-3811
Phone (954) 866-9378

National Provider Directory

National Provider Directory

Locations

4900 S University Dr
Ste 201
Davie, FL 33328
Phone (954) 866-9378

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1053058362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S UNIVERSITY DR STE 201",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283811",
            "telephone_number": "954-866-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 S UNIVERSITY DR STE 201",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283811",
            "telephone_number": "954-866-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL-ROOTED FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "VALCOURT",
        "authorized_official_first_name": "SYLVAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-866-9378",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.