NPIMap

Organization Active NPI

Chiro-Wellness Mobile Services Inc

  • Clinic/Center
  • Hialeah, FL
National Provider Identifier
1255668190
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH9030 Issued in FL
Legal business name
CHIRO-WELLNESS MOBILE SERVICES INC
Practice address
2097 W 76TH St Ste B
Hialeah, FL 33016-1834
Phone
(305) 200-5962
Fax
(305) 200-5940
NPI assigned
Nov 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Authorized official

Name
Dr. Jeffrey Macandrew Richardson
Title
Chiropractor
Phone
(305) 200-5962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH9030 FL Primary

Addresses

Primary practice location

2097 W 76TH St Ste B
Hialeah, FL 33016-1834

Mailing address

2097 W 76TH St Ste B
Hialeah, FL 33016-1834
Phone (305) 200-5962

National Provider Directory

National Provider Directory
Tax ID family
Chiro-Wellness Mobile Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1255668190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2097 W 76TH ST STE B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161834",
            "telephone_number": "305-200-5962",
            "fax_number": "305-200-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 W 76TH ST STE B",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161834",
            "telephone_number": "305-200-5962",
            "fax_number": "305-200-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO-WELLNESS MOBILE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MACANDREW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "305-200-5962",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH9030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.