Organization Active NPI

Chiropractic & Genetic Wellness, LLC

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1124567730
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8779 Issued in FL
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

Updated by the provider on Feb 15, 2017

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.