Organization Active NPI

Genesis Pain Management

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1376131813
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GENESIS PAIN MANAGEMENT
Practice address
3317 NW 10TH Ter Ste 406
Ft Lauderdale, FL 33309-5941
Phone
(954) 990-4227
Fax
(954) 990-6334
NPI assigned
Jan 8, 2021
Last updated
Jan 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Dr. Kenneth Rosenblatt, DCNPI 1770635583
Title
Chiropractor
Phone
(954) 990-4227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3317 NW 10TH Ter Ste 406
Ft Lauderdale, FL 33309-5941

Mailing address

3317 NW 10TH Ter Ste 406
Fort Lauderdale, FL 33309-5941
Phone (954) 990-4227

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1376131813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 NW 10TH TER STE 406",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095941",
            "telephone_number": "954-990-4227",
            "fax_number": "954-990-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 NW 10TH TER STE 406",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095941",
            "telephone_number": "954-990-4227",
            "fax_number": "954-990-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "ROSENBLATT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "954-990-4227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.