Organization Active NPI

Cresthaven Chiropractic Centre, Inc

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1154556157
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3489 Issued in FL
Legal business name
CRESTHAVEN CHIROPRACTIC CENTRE, INC
Practice address
2601 S Military TRL
Suite 34
West Palm Beach, FL 33415-7510
Phone
(561) 439-2550
Fax
(561) 439-2992
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
Dr. Leslie H Cohen, DC
Title
President
Phone
(561) 439-2550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH3489 FL Primary

Addresses

Primary practice location

2601 S Military TRL
Suite 34
West Palm Beach, FL 33415-7510

Mailing address

2601 S Military TRL
Suite 34
West Palm Beach, FL 33415-7510
Phone (561) 439-2550

National Provider Directory

National Provider Directory

Locations

3330 Fairchild Gardens Ave
Unit 33238
Palm Beach Gardens, FL 33420

2601 S Military Trl
Ste 34
West Palm Beach, FL 33415
Phone (321) 439-2550

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1154556157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S MILITARY TRL",
            "address_2": "SUITE 34",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157510",
            "telephone_number": "561-439-2550",
            "fax_number": "561-439-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S MILITARY TRL",
            "address_2": "SUITE 34",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157510",
            "telephone_number": "561-439-2550",
            "fax_number": "561-439-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTHAVEN CHIROPRACTIC CENTRE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-439-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.