Active NPI
North Ridge Chiropractic Inc
- Chiropractor
- Oakland Park, FL
National Provider Identifier
1245290261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8053
- Legal business name
- NORTH RIDGE CHIROPRACTIC INC
- Practice address
- 4711 N Dixie Hwy Ste a
Oakland Park, FL 33334-3916 - Phone
- (954) 491-8127
- Fax
- (954) 491-2388
- NPI assigned
- Mar 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly Lynn Etheredge, DC
- Title
- President
- Phone
- (954) 491-8127
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8053 | FL | Primary |
Addresses
Primary practice location
4711 N Dixie Hwy Ste a
Oakland Park, FL 33334-3916
Mailing address
4711 N Dixie Hwy Ste a
Oakland Park, FL 33334-3916
Phone (954) 491-8127
Other names 1
- Apotheker & Blumstein Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245290261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 N DIXIE HWY STE A",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333343916",
"telephone_number": "954-491-8127",
"fax_number": "954-491-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 N DIXIE HWY STE A",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333343916",
"telephone_number": "954-491-8127",
"fax_number": "954-491-2388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH RIDGE CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ETHEREDGE",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-491-8127",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Apotheker & Blumstein Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.