Organization Active NPI

Marienthal Chiropractic Health & Wellness Center PA

  • Chiropractor
  • Deerfield Beach, FL
National Provider Identifier
1245408384
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9518 Issued in FL
Legal business name
MARIENTHAL CHIROPRACTIC HEALTH & WELLNESS CENTER PA
Practice address
36 NE 2ND Ave
Deerfield Beach, FL 33441-3504
Phone
(954) 421-2644
Fax
(954) 428-7502
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Dr. Jay Robert Marienthal, D.C.NPI 1447428586
Title
President
Phone
(954) 421-2644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9518 FL Primary

Addresses

Primary practice location

36 NE 2ND Ave
Deerfield Beach, FL 33441-3504

Mailing address

36 NE 2ND Ave
Deerfield Beach, FL 33441-3504
Phone (954) 421-2644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090211000283 FL Part B Supplier - Clinic/Group Practice 9133284938 Receives reassigned benefits from 2 practitioners
Practice locations: Deerfield Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1245408384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 NE 2ND AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413504",
            "telephone_number": "954-421-2644",
            "fax_number": "954-428-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 NE 2ND AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413504",
            "telephone_number": "954-421-2644",
            "fax_number": "954-428-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIENTHAL CHIROPRACTIC HEALTH & WELLNESS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "MARIENTHAL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-421-2644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.