Organization Active NPI

Chiropracticusa of Plantation Inc

  • Chiropractor
  • Plantation, FL
National Provider Identifier
1104862283
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5257 Issued in FL
Legal business name
CHIROPRACTICUSA OF PLANTATION INC
Practice address
300 NW 70TH Ave
Suite 100
Plantation, FL 33317-2384
Phone
(954) 581-1999
Fax
(954) 581-3970
NPI assigned
Jun 20, 2006
Last updated
Aug 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Dr. Renny M Edelson, D.C.NPI 1740222710
Title
President
Phone
(954) 581-1999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH5257 FL Primary

Addresses

Primary practice location

300 NW 70TH Ave
Suite 100
Plantation, FL 33317-2384

Mailing address

7668 S.W. 60TH Avenue
Suite 500
Ocala, FL 34476-6404
Phone (352) 351-2872

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1104862283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7668 S.W. 60TH AVENUE",
            "address_2": "SUITE 500",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344766404",
            "telephone_number": "352-351-2872",
            "fax_number": "352-351-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE",
            "address_2": "SUITE 100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172384",
            "telephone_number": "954-581-1999",
            "fax_number": "954-581-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTICUSA OF PLANTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "EDELSON",
        "authorized_official_first_name": "RENNY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-581-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5257",
            "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 Aug 29, 2016; 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.