Active NPI
Kimroy McPherson, DC
- Chiropractor
- Hollywood, FL
National Provider Identifier
1225756695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14184
- Practice address
- 3900 Hollywood Blvd Ste 204
Hollywood, FL 33021-6797 - Phone
- (954) 866-9693
- NPI assigned
- Aug 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14184 | FL | Primary |
Addresses
Primary practice location
3900 Hollywood Blvd Ste 204
Hollywood, FL 33021-6797
Mailing address
3900 Hollywood Blvd Ste 204
Hollywood, FL 33021-6797
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14184 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1225756695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 HOLLYWOOD BLVD STE 204",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 HOLLYWOOD BLVD STE 204",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216797",
"telephone_number": "954-866-9693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHERSON",
"first_name": "KIMROY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-19",
"last_updated": "2022-08-19",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "14184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.