Organization Active NPI

North Ridge Chiropractic Inc

  • Chiropractor
  • Oakland Park, FL
National Provider Identifier
1245290261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8053 Issued in FL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.