Organization Active NPI

Coastal Wellness Center Inc

  • Chiropractor
  • Coral Springs, FL
National Provider Identifier
1275863771
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7131 Issued in FL
Legal business name
COASTAL WELLNESS CENTER INC
Practice address
10000 W Sample Rd
Suite B
Coral Springs, FL 33065-3936
Phone
(954) 752-2950
Fax
(954) 752-7363
NPI assigned
Jan 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Dr. Grant S Schneider, D. C.
Title
Owner
Phone
(954) 752-2950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7131 FL Primary

Addresses

Primary practice location

10000 W Sample Rd
Suite B
Coral Springs, FL 33065-3936

Mailing address

10000 W Sample Rd
Suite B
Coral Springs, FL 33065-3936
Phone (954) 752-2950

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1275863771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W SAMPLE RD",
            "address_2": "SUITE B",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653936",
            "telephone_number": "954-752-2950",
            "fax_number": "954-752-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W SAMPLE RD",
            "address_2": "SUITE B",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653936",
            "telephone_number": "954-752-2950",
            "fax_number": "954-752-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-752-2950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.