Organization Active NPI

Physical Evidence

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1174868640
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10079 Issued in FL
Legal business name
PHYSICAL EVIDENCE
Practice address
7035 Beracasa Way Ste 104
Boca Raton, FL 33433-3454
Phone
(561) 361-4888
Fax
(561) 361-4999
NPI assigned
Dec 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Dr. David I Lipman, DC
Title
Owner/Chiropractor
Phone
(561) 361-4888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10079 FL Primary

Addresses

Primary practice location

7035 Beracasa Way Ste 104
Boca Raton, FL 33433-3454

Mailing address

9858 Clint Moore Rd # C111-274
Boca Raton, FL 33496-1034
Phone (561) 482-1144

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1174868640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 CLINT MOORE RD # C111-274",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961034",
            "telephone_number": "561-482-1144",
            "fax_number": "561-482-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 BERACASA WAY STE 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333454",
            "telephone_number": "561-361-4888",
            "fax_number": "561-361-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL EVIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "LIPMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "561-361-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10079",
            "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 Nov 1, 2022; 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.