Organization Active NPI

MDR Advanced Medical Associates Inc

Doing business as MDR Chiropractic & Physical Therapy

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1326358375
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MDR ADVANCED MEDICAL ASSOCIATES INC
Doing business as
MDR Chiropractic & Physical Therapy
Practice address
1899 N Congress Ave Ste 9
Boynton Beach, FL 33426-8215
Phone
(561) 731-3361
Fax
(561) 731-3374
NPI assigned
Oct 8, 2010
Last updated
Oct 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Mark P Diroma, D.C.NPI 1427019496
Title
President
Phone
(561) 731-3361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1899 N Congress Ave Ste 9
Boynton Beach, FL 33426-8215

Mailing address

1899 N Congress Ave Ste 9
Boynton Beach, FL 33426-8215
Phone (561) 731-3361

Other names 1

  • MDR CHIROPRACTIC & PHYSICAL THERAPY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110221000588 FL Part B Supplier - Clinic/Group Practice 3971784232 Receives reassigned benefits from 5 practitioners
Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1326358375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 N CONGRESS AVE STE 9",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268215",
            "telephone_number": "561-731-3361",
            "fax_number": "561-731-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 N CONGRESS AVE STE 9",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268215",
            "telephone_number": "561-731-3361",
            "fax_number": "561-731-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDR ADVANCED MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "DIROMA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-731-3361",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDR CHIROPRACTIC & PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.