Organization Active NPI

Todd Goldberg DC PA

  • Chiropractor
  • Pembroke Pines, FL
National Provider Identifier
1124130141
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0007996 Issued in FL
Legal business name
TODD GOLDBERG DC PA
Practice address
1900 N Flamingo Rd
Pembroke Pines, FL 33028-2594
Phone
(954) 437-6660
Fax
(954) 450-2253
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Todd D Goldberg, D CNPI 1093827024
Title
President
Phone
(954) 437-6660

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0007996 FL Primary

Addresses

Primary practice location

1900 N Flamingo Rd
Pembroke Pines, FL 33028-2594

Mailing address

1900 N Flamingo Rd
Pembroke Pines, FL 33028-2594
Phone (954) 437-6660

Other identifiers 1

IdentifierTypeStateIssuer
76939OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1900 N Flamingo Rd
Pembroke Pines, FL 33028
Phone (954) 437-6660

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124130141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N FLAMINGO RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282594",
            "telephone_number": "954-437-6660",
            "fax_number": "954-450-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N FLAMINGO RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282594",
            "telephone_number": "954-437-6660",
            "fax_number": "954-450-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD GOLDBERG DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-437-6660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "76939",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.