Active NPI
Javier A Roman, MS, DC
- Chiropractor
- Tamarac, FL
National Provider Identifier
1093134868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11271
- Practice address
- 7301 N University Dr Ste 100
Tamarac, FL 33321-2909 - Phone
- (516) 614-2979
- NPI assigned
- Apr 9, 2014
- Last updated
- Jul 20, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 528 | PR | |
| Chiropractor | 111N00000X | CH11271 | FL | Primary |
Addresses
Primary practice location
7301 N University Dr Ste 100
Tamarac, FL 33321-2909
Mailing address
410 Victory Cir
Boynton Beach, FL 33436-2876
Phone (516) 614-2979
Other practice location 1
6979 Stirling Rd
Davie, FL 33314-7005
Phone (516) 614-2979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH11271 | FL | MD | Chiropractor |
| 528 | PR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Quiropractico del Parque CSP | Chiropractor | Current | Accepting new patients |
| Carlos Selles Hernandez Centro Quriropractico del Parque | Chiropractor | Past | Accepting new patients |
Locations
146 Calle del Parque
Santurce, PR 00911
Phone (787) 722-5422
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- San Juan, PR
- NPI 1023343902
-
- Chiropractor
- San Juan, PR
- NPI 1447468079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1093134868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 VICTORY CIR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334362876",
"telephone_number": "516-614-2979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 N UNIVERSITY DR STE 100",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212909",
"telephone_number": "516-614-2979"
}
],
"practiceLocations": [
{
"address_1": "6979 Stirling Rd",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333147005",
"country_code": "US",
"telephone_number": "516-614-2979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMAN",
"first_name": "JAVIER",
"middle_name": "A",
"credential": "MS, DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-09",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "528",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.