Individual provider Active NPI

Jodi Lyn Friedman, D.C,

  • Chiropractor
  • Pompano Beach, FL
National Provider Identifier
1205098308
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9609 Issued in FL
Practice address
1280 S Powerline Rd Ste 4
Pompano Beach, FL 33069-4332
Phone
(954) 935-3101
Fax
(954) 935-3102
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9609 FL Primary

Addresses

Primary practice location

1280 S Powerline Rd Ste 4
Pompano Beach, FL 33069-4332

Mailing address

1280 S Powerline Rd Ste 4
Pompano Beach, FL 33069-4332
Phone (954) 935-3101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH9609FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jerdeb Chiropractic Inc Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1205098308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 S POWERLINE RD STE 4",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694332",
            "telephone_number": "954-935-3101",
            "fax_number": "954-935-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S POWERLINE RD STE 4",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694332",
            "telephone_number": "954-935-3101",
            "fax_number": "954-935-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "JODI",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "D.C,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.