NPIMap

Organization Active NPI

West Pines Health Center, PA

  • Chiropractor
  • Pembroke Pines, FL
National Provider Identifier
1053696864
Registry record updated Oct 24, 2011
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Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8420 Issued in FL
Legal business name
WEST PINES HEALTH CENTER, PA
Practice address
20170 Pines Blvd.
#101
Pembroke Pines, FL 33029
Phone
(965) 655-7246
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Dr. Diego Kostzer, DC
Title
Owner
Phone
(954) 655-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 8420 FL Primary

Addresses

Primary practice location

20170 Pines Blvd.
#101
Pembroke Pines, FL 33029

Mailing address

7797 N. University Dr.
#101
Tamarac, FL 33321
Phone (954) 655-7246

National Provider Directory

National Provider Directory

Locations

20170 Pines Blvd
Ste 101
Pembroke Pines, FL 33029
Phone (965) 655-7246

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1053696864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7797 N. UNIVERSITY DR.",
            "address_2": "#101",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "954-655-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20170 PINES BLVD.",
            "address_2": "#101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "965-655-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PINES HEALTH CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "KOSTZER",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-655-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8420",
            "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 Oct 24, 2011; 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.