Individual provider Active NPI

Michael I. Cohen I, D.C.

  • Chiropractor
  • Ft Lauderdale, FL
National Provider Identifier
1225041015
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6614 Issued in FL
Practice address
2631 E Oakland Park Blvd
Suite 104
Ft Lauderdale, FL 33306-1657
Phone
(954) 537-5558
Fax
(954) 537-7997
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 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 CH6614 FL Primary

Addresses

Primary practice location

2631 E Oakland Park Blvd
Suite 104
Ft Lauderdale, FL 33306-1657

Mailing address

2631 E Oakland Park Blvd
Suite 104
Ft Lauderdale, FL 33306-1657
Phone (954) 537-5558

Other identifiers 3

IdentifierTypeStateIssuer
589-7905OtherFLGHI
21195294748OtherFLBEECH STREET
3815315 00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110506000260 FL Practitioner - Chiropractic 9032394077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael I Cohen D.C., P.a.Group PAC ID 2961687900, 3 clinicians

Practice addresses (Care Compare)

2631 E Oakland Park Blvd
Suite 104
Fort Lauderdale, FL 33306-1607
Phone (954) 537-5558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael I Cohen D.C., P.a. Chiropractor CurrentSince Mar 25, 2011 Accepting new patients

Locations

2631 E Oakland Park Blvd
Ste 104
Ft Lauderdale, FL 33306
Phone (954) 537-5558

Networks

  • Freedom Health HMO Network

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1225041015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 E OAKLAND PARK BLVD",
            "address_2": "SUITE 104",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061657",
            "telephone_number": "954-537-5558",
            "fax_number": "954-537-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 E OAKLAND PARK BLVD",
            "address_2": "SUITE 104",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061657",
            "telephone_number": "954-537-5558",
            "fax_number": "954-537-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MICHAEL",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "589-7905",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "21195294748",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3815315 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.