Coral Ridge Chiroprractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8419 Issued in FL

Legal business name

CORAL RIDGE CHIROPRRACTIC

Practice address

2745 E Oakland Park Blvd
Ft Lauderdale, FL 33306-1635

Phone

(956) 363-0161

Fax

(954) 656-1365

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James E. Jack, DCNPI 1063517068

Title

Chiropractor

Phone

(954) 630-1616

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• James E. Jack, DC

  • Chiropractor
  • Ft Lauderdale, FL
  • NPI 1063517068
  NPD (past) Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1275714644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 E OAKLAND PARK BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061635",
            "telephone_number": "956-363-0161",
            "fax_number": "954-656-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 E OAKLAND PARK BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061635",
            "telephone_number": "956-363-0161",
            "fax_number": "954-656-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL RIDGE CHIROPRRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "JACK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "954-630-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Copen, MD
• William Alan Copen, MD
• Joel Arthur Coplowitz, MD
• Robert C. Coppola, O.D.
• Roberto P Coquis Sr., MD
• Coral Ridge Gastroenterology Associates LLC
• Coral Ridge Pediatrics Inc.
• Coral Ridge Smile
• Michael Andrew Corbin, M.D., L.L.C.
• Jessica Aviva Corcos, M.S, CCC-SLP

• Chiropractor in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.