Housecallspinedoctor-Com LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HOUSECALLSPINEDOCTOR-COM LLC

Practice address

221 W Hallandale Beach Blvd # 346
Hallandale Beach, FL 33009-5441

Phone

(800) 315-7611

Fax

(305) 723-3334

NPI assigned

Aug 7, 2020

Last updated

Nov 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jude Alcide, DC

Title

Owner

Phone

(800) 315-7611

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1295345932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W HALLANDALE BEACH BLVD # 346",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095441",
            "telephone_number": "800-315-7611",
            "fax_number": "305-723-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W HALLANDALE BEACH BLVD # 346",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095441",
            "telephone_number": "800-315-7611",
            "fax_number": "305-723-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSECALLSPINEDOCTOR-COM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "ALCIDE",
        "authorized_official_first_name": "JUDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-315-7611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.