Champion Chiropractic & Rehab Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7734 Issued in FL

Legal business name

CHAMPION CHIROPRACTIC & REHAB INC

Practice address

9768 W Sample Rd
Coral Springs, FL 33065

Phone

(954) 228-4635

Fax

(754) 229-8712

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Damian Mark Fronzaglia, D.C.NPI 1215081237

Title

Owner

Phone

(954) 228-4635

Specialties & licenses 1

Addresses

Other names 1

• Champion Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Damian Mark Fronzaglia, D.C.

  • Chiropractor
  • Coral Springs, FL
  • NPI 1215081237

  FL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1295880755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9768 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654004",
            "telephone_number": "954-228-4635",
            "fax_number": "754-229-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9768 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "954-228-4635",
            "fax_number": "754-229-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION CHIROPRACTIC & REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "FRONZAGLIA",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-228-4635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Champion Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Paola Challenger
• Challis Dialysis LLC
• Stephanie Diane Chamberlain
• Denise Champagne, LMHC
• Theresa Champatsingh
• Champion Medical Supplies LLC
• Kutty K Chandran, MD
• Shetera Chaney, NCMA
• Sara Bassam Channaoui, PHARMD
• Nesly Chaperon, NP

• All providers in Coral Springs, FL
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.