Organization Active NPI

Chiro-Fitness Centers, Inc

  • Chiropractor
  • Deerfield Beach, FL
National Provider Identifier
1104338631
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8855 Issued in FL
Legal business name
CHIRO-FITNESS CENTERS, INC
Practice address
665 SE 10TH St Ste 100
Deerfield Beach, FL 33441-5634
Phone
(954) 571-7088
Fax
(954) 571-3935
NPI assigned
Oct 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Authorized official

Name
Laura B Burke
Title
Credentialing Manager
Phone
(954) 571-7088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8855 FL Primary

Addresses

Primary practice location

665 SE 10TH St Ste 100
Deerfield Beach, FL 33441-5634

Mailing address

665 SE 10TH St Ste 100
Deerfield Beach, FL 33441-5634
Phone (954) 571-7088

Other identifiers 1

IdentifierTypeStateIssuer
CH8855OtherFLFLORIDA DC LICENSE

National Provider Directory

National Provider Directory

Locations

665 SE 10th St
Ste 100
Deerfield Beach, FL 33441
Phone (954) 571-7088

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1104338631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 SE 10TH ST STE 100",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415634",
            "telephone_number": "954-571-7088",
            "fax_number": "954-571-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 SE 10TH ST STE 100",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415634",
            "telephone_number": "954-571-7088",
            "fax_number": "954-571-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO-FITNESS CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "954-571-7088"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DC LICENSE",
            "identifier": "CH8855",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.