Organization Active NPI

Village Chiropractic Health Center, Inc

  • Chiropractor
  • Pembroke Pines, FL
National Provider Identifier
1356576607
Registry record updated May 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7204 Issued in FL
Legal business name
VILLAGE CHIROPRACTIC HEALTH CENTER, INC
Practice address
10051 Pines Blvd
Suite B.
Pembroke Pines, FL 33024-6186
Phone
(954) 983-1001
NPI assigned
May 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2011

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

Authorized official

Name
Dr. Robert Allen Peters, DC
Title
Chiropractic Physician
Phone
(954) 983-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH7204 FL Primary

Addresses

Primary practice location

10051 Pines Blvd
Suite B.
Pembroke Pines, FL 33024-6186

Mailing address

10051 Pines Blvd
Suite B.
Pembroke Pines, FL 33024-6186
Phone (954) 983-1001

National Provider Directory

National Provider Directory

Locations

10051 Pines Blvd
Ste B
Pembroke Pines, FL 33024
Phone (954) 477-2112

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305331200000",
    "number": "1356576607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 PINES BLVD",
            "address_2": "SUITE B.",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246186",
            "telephone_number": "954-983-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10051 PINES BLVD",
            "address_2": "SUITE B.",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246186",
            "telephone_number": "954-983-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE CHIROPRACTIC HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2011-05-14",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "954-983-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2011; 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.