Active NPI
Total Health Chiropractic
- Rehabilitation Chiropractor
- Miramar, FL
National Provider Identifier
1104069699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH9067
- Legal business name
- TOTAL HEALTH CHIROPRACTIC
- Practice address
- 16213 Miramar Pkwy
Miramar, FL 33027-4572 - Phone
- (954) 805-3553
- Fax
- (954) 431-5074
- NPI assigned
- Apr 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis Gouldbourne, D.C.
- Title
- Chiropractor
- Phone
- (954) 805-3553
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH9067 | FL | Primary |
Addresses
Primary practice location
16213 Miramar Pkwy
Miramar, FL 33027-4572
Mailing address
7760 Alhambra Blvd
Miramar, FL 33023-5820
Phone (954) 961-2449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16213 Miramar Pkwy
Miramar, FL 33027
Phone (954) 770-5878
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Miramar, FL
- NPI 1366646655
-
- Chiropractor
- Miramar, FL
- NPI 1851378251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239580800000",
"number": "1104069699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7760 ALHAMBRA BLVD",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330235820",
"telephone_number": "954-961-2449",
"fax_number": "954-961-2449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16213 MIRAMAR PKWY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330274572",
"telephone_number": "954-805-3553",
"fax_number": "954-431-5074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL HEALTH CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-13",
"last_updated": "2009-04-13",
"status": "A",
"authorized_official_last_name": "GOULDBOURNE",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "954-805-3553",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "CH9067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.