Active NPI
Larance Ford II, LMT
- Rehabilitation Chiropractor
- Ft Lauderdale, FL
National Provider Identifier
1295976462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- MA54290
- Practice address
- 1141 NW 16TH St
Ft Lauderdale, FL 33311-4757 - Phone
- (786) 343-9911
- NPI assigned
- Mar 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | MA54290 | FL | Primary |
| Reflexologist | 173C00000X | MA54290 | FL |
Addresses
Primary practice location
1141 NW 16TH St
Ft Lauderdale, FL 33311-4757
Mailing address
1141 NW 16TH St
Ft Lauderdale, FL 33311-4757
Phone (786) 343-9911
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA54290 | FL | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237248000000",
"number": "1295976462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 NW 16TH ST",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333114757",
"telephone_number": "786-343-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 NW 16TH ST",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333114757",
"telephone_number": "786-343-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "LARANCE",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-17",
"last_updated": "2009-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "MA54290",
"primary": true
},
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "FL",
"license": "MA54290",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.