Organization Active NPI

Parkside Health & Wellness Center

  • Rehabilitation Chiropractor
  • Parkland, FL
National Provider Identifier
1174744957
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH8046 Issued in FL
Legal business name
PARKSIDE HEALTH & WELLNESS CENTER
Practice address
6662 Parkside Dr
Parkland, FL 33067-1694
Phone
(954) 340-7854
Fax
(954) 340-8925
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Nina C Hersch, DC, FICPA
Title
Owner Pres
Phone
(954) 340-7545

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH8046 FL
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X CH8046 FL Primary

Addresses

Primary practice location

6662 Parkside Dr
Parkland, FL 33067-1694

Mailing address

6662 Parkside Dr
Parkland, FL 33067-1694
Phone (954) 340-7854

Other identifiers 1

IdentifierTypeStateIssuer
7362453OtherFLAETNA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1174744957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6662 PARKSIDE DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671694",
            "telephone_number": "954-340-7854",
            "fax_number": "954-340-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6662 PARKSIDE DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671694",
            "telephone_number": "954-340-7854",
            "fax_number": "954-340-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HERSCH",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER PRES",
        "authorized_official_telephone_number": "954-340-7545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, FICPA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8046",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH8046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7362453",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.