Active NPI
William V Longstreth, DC
- Nutrition Chiropractor
- Deerfield Beach, FL
National Provider Identifier
1265530448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- CH0002540
- Practice address
- 824 SE 9TH St
Deerfield Beach, FL 33441-5632 - Phone
- (954) 570-8022
- Fax
- (954) 420-5505
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | CH0002540 | FL | Primary |
Addresses
Primary practice location
824 SE 9TH St
Deerfield Beach, FL 33441-5632
Mailing address
824 SE 9TH St
Deerfield Beach, FL 33441-5632
Phone (954) 570-8022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH00002540 | Other | FL | STATE LISCENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0002540 | FL | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265530448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 SE 9TH ST",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334415632",
"telephone_number": "954-570-8022",
"fax_number": "954-420-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 SE 9TH ST",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334415632",
"telephone_number": "954-570-8022",
"fax_number": "954-420-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGSTRETH",
"first_name": "WILLIAM",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "FL",
"license": "CH0002540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISCENSE",
"identifier": "CH00002540",
"state": "FL"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.