Active NPI
Chiropractic & Genetic Wellness, LLC
- Chiropractor
- Boca Raton, FL
National Provider Identifier
1124567730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8779
- Legal business name
- CHIROPRACTIC & GENETIC WELLNESS, LLC
- Practice address
- 1401 S Ocean Blvd
#302
Boca Raton, FL 33432-8528 - Phone
- (610) 212-8700
- Fax
- (561) 447-4556
- NPI assigned
- Feb 15, 2017
- 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
- Joan Lee Rutenberg, DC
- Title
- Owner
- Phone
- (610) 212-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8779 | FL | Primary |
Addresses
Primary practice location
1401 S Ocean Blvd
#302
Boca Raton, FL 33432-8528
Mailing address
7035 Beracasa Way
Boca Raton, FL 33433-3405
Phone (610) 212-8700
National Provider Directory
National Provider DirectoryLocations
7035 Beracasa Way
Ste 104
Boca Raton, FL 33433
Phone (561) 361-4888
701 E Palmetto Park Rd
Boca Raton, FL 33432
Phone (610) 212-8700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487116800000",
"number": "1124567730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7035 BERACASA WAY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333405",
"telephone_number": "610-212-8700",
"fax_number": "561-447-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S OCEAN BLVD",
"address_2": "#302",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334328528",
"telephone_number": "610-212-8700",
"fax_number": "561-447-4556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC & GENETIC WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-15",
"last_updated": "2017-02-15",
"status": "A",
"authorized_official_last_name": "RUTENBERG",
"authorized_official_first_name": "JOAN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-212-8700",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.