Organization Active NPI

Plantation Chiropractic Services, Inc.

  • Chiropractor
  • Plantation, FL
National Provider Identifier
1053594481
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8865 Issued in FL
Legal business name
PLANTATION CHIROPRACTIC SERVICES, INC.
Practice address
4100 NW 3Rd CT Ste 202
Plantation, FL 33317-2837
Phone
(954) 358-1461
Fax
(954) 358-1464
NPI assigned
Dec 7, 2007
Last updated
Feb 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Dr. Kenya C McCloud, D.C.
Title
Medical Director
Phone
(954) 358-1461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8865 FL Primary

Addresses

Primary practice location

4100 NW 3Rd CT Ste 202
Plantation, FL 33317-2837

Mailing address

4100 NW 3Rd CT Ste 202
Plantation, FL 33317-2837
Phone (954) 358-1461

National Provider Directory

National Provider Directory

Locations

4100 S Hospital Dr
Ste 202
Plantation, FL 33317
Phone (954) 358-1461

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1053594481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 NW 3RD CT STE 202",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172837",
            "telephone_number": "954-358-1461",
            "fax_number": "954-358-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 NW 3RD CT STE 202",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172837",
            "telephone_number": "954-358-1461",
            "fax_number": "954-358-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION CHIROPRACTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "MCCLOUD",
        "authorized_official_first_name": "KENYA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-358-1461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.