Individual provider Active NPI

Eileen Marsha Dvorkin, DC

  • Chiropractor
  • North Miami Beach, FL
National Provider Identifier
1235333253
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2365 Issued in FL
Practice address
17230 West Dixie Highway
North Miami Beach, FL 33160
Phone
(305) 948-9777
Fax
(305) 948-3555
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH2365 FL Primary

Addresses

Primary practice location

17230 West Dixie Highway
North Miami Beach, FL 33160

Mailing address

17230 West Dixie Highway
North Miami Beach, FL 33160
Phone (305) 948-9777

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

LicenseStateTypeSpecialty
CH2365FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Wellness Chiropractor Past Accepting new patients
Accident Injury and Family Healthcare Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235333253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17230 WEST DIXIE HIGHWAY",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33160",
            "telephone_number": "305-948-9777",
            "fax_number": "305-948-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17230 WEST DIXIE HIGHWAY",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33160",
            "telephone_number": "305-948-9777",
            "fax_number": "305-948-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORKIN",
        "first_name": "EILEEN",
        "middle_name": "MARSHA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.