NPIMap

Organization Active NPI

Express Life Family Chiropractic

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1053676502
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7850 Issued in FL
Legal business name
EXPRESS LIFE FAMILY CHIROPRACTIC
Practice address
450 NE 5TH St
Suite 7
Fort Lauderdale, FL 33301-3468
Phone
(954) 769-1585
Fax
(888) 332-1945
NPI assigned
Jul 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Dr. Paulette Kim Mejia, D.C.
Title
President
Phone
(954) 769-1585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7850 FL Primary

Addresses

Primary practice location

450 NE 5TH St
Suite 7
Fort Lauderdale, FL 33301-3468

Mailing address

450 NE 5TH St
Suite 7
Fort Lauderdale, FL 33301-3468
Phone (954) 769-1585

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1053676502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NE 5TH ST",
            "address_2": "SUITE 7",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013468",
            "telephone_number": "954-769-1585",
            "fax_number": "888-332-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NE 5TH ST",
            "address_2": "SUITE 7",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013468",
            "telephone_number": "954-769-1585",
            "fax_number": "888-332-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS LIFE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-769-1585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 11, 2012; 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.