Fort Lauderdale Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0006397 Issued in FL

Legal business name

FORT LAUDERDALE CHIROPRACTIC CENTER

Practice address

200 SE 12TH St
Ft Lauderdale, FL 33316-1816

Phone

(954) 463-2404

Fax

(954) 463-2307

NPI assigned

Dec 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Wayne W White, D.C.NPI 1891782769

Title

Owner

Phone

(954) 463-2404

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wayne Walter White, DC

  • Chiropractor
  • Fort Lauderdale, FL
  • NPI 1891782769
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1184928400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SE 12TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161816",
            "telephone_number": "954-463-2404",
            "fax_number": "954-463-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SE 12TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161816",
            "telephone_number": "954-463-2404",
            "fax_number": "954-463-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LAUDERDALE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-463-2404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380318000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.