Active NPI
Michael S. Wendrow
- Chiropractor
- North Miami, FL
National Provider Identifier
1306945068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH5933
- Practice address
- 1125 NE 125TH St
Suite 100
North Miami, FL 33161-5014 - Phone
- (305) 899-0266
- Fax
- (305) 895-0472
- NPI assigned
- Sep 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH5933 | FL | Primary |
Addresses
Primary practice location
1125 NE 125TH St
Suite 100
North Miami, FL 33161-5014
Mailing address
1125 NE 125TH St
Suite 100
North Miami, FL 33161-5014
Phone (305) 899-0266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22349 | Other | FL | BLCBLS OF FLORIDA |
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 |
|---|---|---|---|
| CH5933 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306945068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 NE 125TH ST",
"address_2": "SUITE 100",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615014",
"telephone_number": "305-899-0266",
"fax_number": "305-895-0472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 NE 125TH ST",
"address_2": "SUITE 100",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615014",
"telephone_number": "305-899-0266",
"fax_number": "305-895-0472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDROW",
"first_name": "MICHAEL",
"middle_name": "S.",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH5933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLCBLS OF FLORIDA",
"identifier": "22349",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.