Individual provider Active NPI

Keith Litwak, D.C.

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1154515575
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5747 Issued in FL
Practice address
2941 NW 28TH Ter
Boca Raton, FL 33434-6006
Phone
(561) 272-7000
Fax
(561) 883-1508
NPI assigned
Aug 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5747 FL Primary

Addresses

Primary practice location

2941 NW 28TH Ter
Boca Raton, FL 33434-6006

Mailing address

2941 NW 28TH Ter
Boca Raton, FL 33434-6006
Phone (561) 272-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH5747FLMDChiropractor
5747FLMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1154515575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 NW 28TH TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334346006",
            "telephone_number": "561-272-7000",
            "fax_number": "561-883-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 NW 28TH TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334346006",
            "telephone_number": "561-272-7000",
            "fax_number": "561-883-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITWAK",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5747",
            "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 Mar 11, 2008; 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.