Active NPI
Jerry David Friedman, D.C.
- Chiropractor
- Weston, FL
National Provider Identifier
1083638159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH6325
- Practice address
- 1605 Town Center Blvd.
Suite D
Weston, FL 33326 - Phone
- (954) 217-2220
- Fax
- (954) 217-2218
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH6325 | FL | Primary |
Addresses
Primary practice location
1605 Town Center Blvd.
Suite D
Weston, FL 33326
Mailing address
1605 Town Center Blvd.
Suite D
Weston, FL 33326
Phone (954) 217-2220
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6325 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083638159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 TOWN CENTER BLVD.",
"address_2": "SUITE D",
"city": "WESTON",
"state": "FL",
"postal_code": "33326",
"telephone_number": "954-217-2220",
"fax_number": "954-217-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 TOWN CENTER BLVD.",
"address_2": "SUITE D",
"city": "WESTON",
"state": "FL",
"postal_code": "33326",
"telephone_number": "954-217-2220",
"fax_number": "954-217-2218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "JERRY",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH6325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.