NPIMap

Organization Active NPI

North Palm Beach Medical Wellness Center LLC

Doing business as Spinal Care Center

  • Chiropractor
  • North Palm Beach, FL
National Provider Identifier
1336247634
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5263 Issued in FL
Legal business name
NORTH PALM BEACH MEDICAL WELLNESS CENTER LLC
Doing business as
Spinal Care Center
Practice address
11911 US Highway 1
Suite 102
North Palm Beach, FL 33408-2827
Phone
(561) 626-5433
Fax
(561) 626-3371
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Richard G. Fenn, D.C.NPI 1063511350
Title
Owner
Phone
(561) 626-5433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH5263 FL Primary

Addresses

Primary practice location

11911 US Highway 1
Suite 102
North Palm Beach, FL 33408-2827

Mailing address

11911 US Highway 1
Suite 102
North Palm Beach, FL 33408-2827
Phone (561) 626-5433

Other identifiers 1

IdentifierTypeStateIssuer
76037OtherFLBCBS GROUP

Other names 1

  • Spinal Care Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1336247634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 US HIGHWAY 1",
            "address_2": "SUITE 102",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082827",
            "telephone_number": "561-626-5433",
            "fax_number": "561-626-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 US HIGHWAY 1",
            "address_2": "SUITE 102",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082827",
            "telephone_number": "561-626-5433",
            "fax_number": "561-626-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PALM BEACH MEDICAL WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "FENN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-626-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "76037",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.