NPIMap

Organization Active NPI

Douglas Rapid Rehab, PA

Doing business as Douglas Chiropractic Center

  • Chiropractor
  • Lauderhill, FL
National Provider Identifier
1366594145
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5191 Issued in FL
Legal business name
DOUGLAS RAPID REHAB, PA
Doing business as
Douglas Chiropractic Center
Practice address
4140 NW 12TH St
Lauderhill, FL 33313-5816
Phone
(954) 739-3331
Fax
(954) 792-4520
NPI assigned
Jan 18, 2007
Last updated
Aug 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Michael L Douglas, DCNPI 1407853088
Title
President
Phone
(954) 739-3331

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 CH5191 FL Primary

Addresses

Primary practice location

4140 NW 12TH St
Lauderhill, FL 33313-5816

Mailing address

4140 NW 12TH St
Lauderhill, FL 33313-5816
Phone (954) 739-3331

Other names 1

  • Douglas Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

4140 NW 12th St
Lauderhill, FL 33313
Phone (954) 739-3331

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1366594145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 NW 12TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135816",
            "telephone_number": "954-739-3331",
            "fax_number": "954-792-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 NW 12TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135816",
            "telephone_number": "954-739-3331",
            "fax_number": "954-792-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS RAPID REHAB, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-739-3331",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.