Organization Active NPI

Chiro-Medical of West Ft. Lauderdale, Inc.

  • Chiropractor
  • Oakland Park, FL
National Provider Identifier
1336471572
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5659 Issued in FL
Legal business name
CHIRO-MEDICAL OF WEST FT. LAUDERDALE, INC.
Practice address
2901 W Oakland Park Blvd
Suite a-23
Oakland Park, FL 33311-1243
Phone
(561) 367-1333
Fax
(561) 367-1320
NPI assigned
Feb 12, 2010
Last updated
Feb 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Authorized official

Name
Dr. Sal James Pellegrino, D.C.
Title
President/Owner
Phone
(561) 367-1333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6264 FL
Chiropractor 111N00000X CH5659 FL Primary

Addresses

Primary practice location

2901 W Oakland Park Blvd
Suite a-23
Oakland Park, FL 33311-1243

Mailing address

731 NE 32ND St
Boca Raton, FL 33431-6918
Phone (561) 367-1333

National Provider Directory

National Provider Directory
Tax ID family
Chiro-Medical of West Ft Lauderdale Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2901 W Oakland Park Blvd
Ste A23
Oakland Park, FL 33311
Phone (954) 731-8097

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1336471572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 NE 32ND ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316918",
            "telephone_number": "561-367-1333",
            "fax_number": "561-367-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W OAKLAND PARK BLVD",
            "address_2": "SUITE A-23",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111243",
            "telephone_number": "561-367-1333",
            "fax_number": "561-367-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO-MEDICAL OF WEST FT. LAUDERDALE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "SAL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-367-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6264",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.