Organization Active NPI

Shtulman Family Chiropractic, PA

  • Chiropractor
  • Lake Worth, FL
National Provider Identifier
1144514712
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10300 Issued in FL
Legal business name
SHTULMAN FAMILY CHIROPRACTIC, PA
Practice address
8855 Hypoluxo Rd
Suite C-11
Lake Worth, FL 33467-5250
Phone
(561) 275-2525
NPI assigned
Jun 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Dr. Ian Wayne Shtulman, D.C.
Title
President
Phone
(561) 275-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 10300 FL Primary

Addresses

Primary practice location

8855 Hypoluxo Rd
Suite C-11
Lake Worth, FL 33467-5250

Mailing address

8855 Hypoluxo Rd
Suite C-11
Lake Worth, FL 33467-5250
Phone (561) 275-2525

Other names 1

  • Shtulman Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

8855 Hypoluxo Rd
Ste C11
Lake Worth, FL 33467
Phone (561) 275-2525

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": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1144514712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8855 HYPOLUXO RD",
            "address_2": "SUITE C-11",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675250",
            "telephone_number": "561-275-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 HYPOLUXO RD",
            "address_2": "SUITE C-11",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675250",
            "telephone_number": "561-275-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHTULMAN FAMILY CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "SHTULMAN",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-275-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shtulman Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.