Individual provider Active NPI

Anthony Aquino, DC

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1306818067
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4856 Issued in FL
Practice address
2700 W Cypress Creek Rd
C100
Fort Lauderdale, FL 33309-1744
Phone
(954) 974-3111
Fax
(954) 974-6191
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH4856 FL Primary

Addresses

Primary practice location

2700 W Cypress Creek Rd
C100
Fort Lauderdale, FL 33309-1744

Mailing address

4623 Forest Hill Blvd
Suite 101
West Palm Beach, FL 33415-9120
Phone (561) 966-7194

Other identifiers 1

IdentifierTypeStateIssuer
P01745191OtherFLRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120229000270 FL Practitioner - Chiropractic 1658539242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH4856FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Palm Beach Physicians & Urgent Care Inc CurrentSince Jan 29, 2014 Accepting new patients
Central Palm Beach Physicians & Urgent Care, Inc. CurrentSince Jan 29, 2014 Accepting new patients
Clinical Chiropractic Group, Inc. Chiropractor Past Accepting new patients
Ying Acupuncture and Wellness Center Past Accepting new patients
Ronald S Smith OD PA Past Accepting new patients

Locations

8100 Royal Palm Blvd
Ste 103104
Coral Springs, FL 33065
Phone (954) 345-6789

8100 Royal Palm Blvd
Ste 105
Coral Springs, FL 33065
Phone (954) 344-2288

2700 W Cypress Creek Rd
Ste C100
Ft Lauderdale, FL 33309
Phone (954) 974-3111

1335 S State Road 7
North Lauderdale, FL 33068
Phone (954) 974-3111

8200 Okeechobee Blvd
West Palm Beach, FL 33411
Phone (561) 798-2425

4623 Forest Hill Blvd
Ste 101
West Palm Beach, FL 33415
Phone (561) 966-7194

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1306818067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 FOREST HILL BLVD",
            "address_2": "SUITE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159120",
            "telephone_number": "561-966-7194",
            "fax_number": "561-966-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W CYPRESS CREEK RD",
            "address_2": "C100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091744",
            "telephone_number": "954-974-3111",
            "fax_number": "954-974-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01745191",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.