Organization Active NPI

Maristany Chiropractic Inc

  • Chiropractor
  • Wellington, FL
National Provider Identifier
1275998007
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9807 Issued in FL
Legal business name
MARISTANY CHIROPRACTIC INC
Practice address
12773 Forest Hill Blvd
Suite 201
Wellington, FL 33414-4767
Phone
(561) 623-7392
Fax
(561) 847-4785
NPI assigned
Dec 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Dr. Anais Maristany-Diaz, DC
Title
Owner
Phone
(561) 623-7392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9807 FL Primary

Addresses

Primary practice location

12773 Forest Hill Blvd
Suite 201
Wellington, FL 33414-4767

Mailing address

12773 Forest Hill Blvd
Suite 201
Wellington, FL 33414-4767
Phone (561) 623-7392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160420001838 FL Part B Supplier - Clinic/Group Practice 5193023398 Receives reassigned benefits from 1 practitioner
Practice locations: Wellington, FL

National Provider Directory

National Provider Directory

Locations

12773 Forest Hill Blvd
Ste 201
Wellington, FL 33414
Phone (561) 623-7392

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1275998007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12773 FOREST HILL BLVD",
            "address_2": "SUITE 201",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144767",
            "telephone_number": "561-623-7392",
            "fax_number": "561-847-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12773 FOREST HILL BLVD",
            "address_2": "SUITE 201",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144767",
            "telephone_number": "561-623-7392",
            "fax_number": "561-847-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISTANY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "MARISTANY-DIAZ",
        "authorized_official_first_name": "ANAIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-623-7392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.