Active NPI
John Adam Cottrell, DC
- Chiropractor
- Davie, FL
National Provider Identifier
1295796506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9073
- Practice address
- 8600 W State Road 84 Ste C
Davie, FL 33324-4558 - Phone
- (954) 424-1142
- Fax
- (954) 424-1143
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH9073 | FL | Primary |
Addresses
Primary practice location
8600 W State Road 84 Ste C
Davie, FL 33324-4558
Mailing address
8600 W State Road 84 Ste C
Davie, FL 33324-4558
Phone (954) 424-1142
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9073 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1295796506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 W STATE ROAD 84 STE C",
"city": "DAVIE",
"state": "FL",
"postal_code": "333244558",
"telephone_number": "954-424-1142",
"fax_number": "954-424-1143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 W STATE ROAD 84 STE C",
"city": "DAVIE",
"state": "FL",
"postal_code": "333244558",
"telephone_number": "954-424-1142",
"fax_number": "954-424-1143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTRELL",
"first_name": "JOHN",
"middle_name": "ADAM",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.