West Broward Wellness Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0006353 Issued in FL

Legal business name

WEST BROWARD WELLNESS CENTER, INC

Practice address

6736 N. University Drive
Tamarac, FL 33321-4013

Phone

(954) 474-3919

Fax

(954) 474-1799

NPI assigned

Feb 7, 2011

Organization subpart

Yes

Parent organization

WEST BROWARD WELLNESS CENTER, INC.As reported in NPPES

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

Authorized official

Name

Kyzor M. Dahdah, D.C.NPI 1588793426

Title

President/Owner

Phone

(954) 474-3919

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

West Broward Wellness Center Inc

Locations

Practitioners 3

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

• Kyzor M Dahdah, D.C

  • Chiropractor
  • Tamarac, FL
  • NPI 1588793426
  Medicare reassignment NPD Authorized official
• Teri H Cohen, D.C.

  • Chiropractor
  • Plantation, FL
  • NPI 1518097161
  NPD (past)
• Michael A Mejia, DC

  • Chiropractor
  • Boca Raton, FL
  • NPI 1295456218
  NPD (past)

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1326344433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6736 N. UNIVERSITY DRIVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214013",
            "telephone_number": "954-474-3919",
            "fax_number": "954-474-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6736 N. UNIVERSITY DRIVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214013",
            "telephone_number": "954-474-3919",
            "fax_number": "954-474-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BROWARD WELLNESS CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST BROWARD WELLNESS CENTER, INC.",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "DAHDAH",
        "authorized_official_first_name": "KYZOR",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-474-3919",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380174800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy N Carbone OD PA
• Barry Michael Werner, M.D.
• West Broward Eyecare Associates Inc
• West Broward Internal Medicine LLC
• West Broward Rheumatology Associates, Inc
• Laura Ilona White, DPM
• Wickshire Tamarac Opco LLC
• Teresha Amazing Williams Harper, LMHC
• Belinda Diane Williams, CPC, CPMA
• Chanta Williams, MA/PHLEBOTOMIST

• Chiropractor in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.