Individual provider Active NPI

Joseph A. Perez, D.C.

  • Chiropractor
  • Coral Springs, FL
National Provider Identifier
1366878365
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10995 Issued in FL
Practice address
10304 NW 50TH CT
Coral Springs, FL 33076-1738
Phone
(561) 906-8666
NPI assigned
Sep 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10995 FL Primary

Addresses

Primary practice location

10304 NW 50TH CT
Coral Springs, FL 33076-1738

Mailing address

10304 NW 50TH CT
Coral Springs, FL 33076-1738
Phone (561) 906-8666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150302001938 FL Practitioner - Chiropractic 2466778865 Reassigns benefits to 3 organizations
Practice locations: Lake Worth, FL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4623 Forest Hill Blvd
Suite 101
West Palm Beach, FL 33415-9120
Phone (561) 967-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Bogart DC PA Chiropractor CurrentSince Jul 21, 2014 Accepting new patients
Shadowood Chiropractic Center,Inc. Chiropractor CurrentSince Jan 30, 2024 Accepting new patients
Joseph Perez, D.C., P.a. Chiropractor CurrentSince Aug 1, 2022 Accepting new patients
Central Palm Beach Physicians & Urgent Care Inc CurrentSince Apr 1, 2025 Accepting new patients
Central Palm Beach Physicians & Urgent Care, Inc. CurrentSince Apr 1, 2025 Accepting new patients

Locations

9799 Glades Rd
Boca Raton, FL 33434
Phone (561) 488-4000

7950 S Military Trl
Ste 105
Lake Worth, FL 33463
Phone (561) 245-5964

6662 Parkside Dr
Parkland, FL 33067
Phone (954) 340-7545

4623 Forest Hill Blvd
Ste 101
West Palm Beach, FL 33415
Phone (561) 966-7194

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1366878365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 NW 50TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761738",
            "telephone_number": "561-906-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 NW 50TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761738",
            "telephone_number": "561-906-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOSEPH",
        "middle_name": "A.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.