Individual provider Active NPI

Kryssa Ann Cable, D.C.

  • Chiropractor
  • Plantation, FL
National Provider Identifier
1073766416
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30922 Issued in CA
Practice address
4430 W Broward Blvd
Plantation, FL 33317-3708
Phone
(310) 463-0006
NPI assigned
Oct 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30922 CA Primary

Addresses

Primary practice location

4430 W Broward Blvd
Plantation, FL 33317-3708

Mailing address

4430 W Broward Blvd
Plantation, FL 33317-3708
Phone (310) 463-0006

Other practice location 1

6180 Laurel Canyon Blvd
Suite 270
North Hollywood, CA 91606-3231
Phone (818) 760-7847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30922CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1073766416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173708",
            "telephone_number": "310-463-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173708",
            "telephone_number": "310-463-0006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6180 Laurel Canyon Blvd",
            "address_2": "Suite 270",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916063231",
            "country_code": "US",
            "telephone_number": "818-760-7847",
            "fax_number": "818-762-1736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABLE",
        "first_name": "KRYSSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30922",
            "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 Mar 28, 2023; 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.