Organization Active NPI

Chiropractic Renewal

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1184948713
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
ME103915 Issued in FL
Legal business name
CHIROPRACTIC RENEWAL
Practice address
5130 North Federal Highway
Suite 6
Fort Lauderdale, FL 33308
Phone
(954) 530-0755
Fax
(954) 530-0798
NPI assigned
Mar 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Authorized official

Name
Daniel Parker
Title
Secertary
Phone
(954) 530-0755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X ME103915 FL Primary

Addresses

Primary practice location

5130 North Federal Highway
Suite 6
Fort Lauderdale, FL 33308

Mailing address

5130 N Federal Hwy
Fort Lauderdale, FL 33308
Phone (954) 530-0755

National Provider Directory

National Provider Directory

Locations

5130 N Federal Hwy
Ste 6
Fort Lauderdale, FL 33308
Phone (954) 530-0755

5130 N Federal Hwy
Ft Lauderdale, FL 33308

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1184948713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-530-0755",
            "fax_number": "954-530-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 NORTH FEDERAL HIGHWAY",
            "address_2": "SUITE 6",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-530-0755",
            "fax_number": "954-530-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC RENEWAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SECERTARY",
        "authorized_official_telephone_number": "954-530-0755"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "ME103915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.