Organization Active NPI

Island Breeze Chiropractic and Wellness Center

  • Rehabilitation Chiropractor
  • Tamarac, FL
National Provider Identifier
1164099453
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
ISLAND BREEZE CHIROPRACTIC AND WELLNESS CENTER
Practice address
7128 W McNab Rd
Tamarac, FL 33321-5306
Phone
(954) 720-3002
Fax
(833) 245-8178
NPI assigned
Jun 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Dr. Latoya Evans, DCNPI 1427302348
Title
Owner
Phone
(954) 720-3002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

7128 W McNab Rd
Tamarac, FL 33321-5306

Mailing address

7128 W McNab Rd
Tamarac, FL 33321-5306
Phone (954) 720-3002

Other identifiers 1

IdentifierTypeStateIssuer
1427302348OtherFLNPPES

Other names 1

  • Island Breeze Chiro and Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

7128 W McNab Rd
Tamarac, FL 33321
Phone (954) 718-5105

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": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1164099453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7128 W MCNAB RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333215306",
            "telephone_number": "954-720-3002",
            "fax_number": "833-245-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7128 W MCNAB RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333215306",
            "telephone_number": "954-720-3002",
            "fax_number": "833-245-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND BREEZE CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-720-3002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1427302348",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Breeze Chiro and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.