Active NPI
Lisa Irene Owen, DC
- Chiropractor
- Plantation, FL
National Provider Identifier
1255538385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 000CH7610
- Practice address
- 8430 W Broward Blvd Ste 250
Plantation, FL 33324-2704 - Phone
- (954) 745-8380
- Fax
- (954) 651-6263
- NPI assigned
- Jul 2, 2007
- Sex
- Female
- 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 | 000CH7610 | FL | Primary |
Addresses
Primary practice location
8430 W Broward Blvd Ste 250
Plantation, FL 33324-2704
Mailing address
8430 W Broward Blvd Ste 250
Plantation, FL 33324-2704
Phone (954) 358-0878
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 |
|---|---|---|---|
| 000CH7610 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1255538385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8430 W BROWARD BLVD STE 250",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242704",
"telephone_number": "954-358-0878",
"fax_number": "954-435-9627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8430 W BROWARD BLVD STE 250",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242704",
"telephone_number": "954-745-8380",
"fax_number": "954-651-6263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "LISA",
"middle_name": "IRENE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "000CH7610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.