Chiropractic USA

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH5656 Issued in FL

Legal business name

CHIROPRACTIC USA

Practice address

2150 NW 21St St
Miami, FL 33142-7318

Phone

(305) 443-1103

Fax

(786) 391-3914

NPI assigned

Oct 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Paul Anthony Malavenda, D.C.

Title

Owner

Phone

(305) 443-1103

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1356778658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420127",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332420127",
            "telephone_number": "305-443-1103",
            "fax_number": "305-443-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 NW 21ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331427318",
            "telephone_number": "305-443-1103",
            "fax_number": "786-391-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "MALAVENDA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-443-1103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH5656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050238300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.