Organization Active NPI

Painter Chiropractic Center LLC

  • Sports Physician Chiropractor
  • Lighthouse Point, FL
National Provider Identifier
1376694000
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH6650 Issued in FL
Legal business name
PAINTER CHIROPRACTIC CENTER LLC
Practice address
5002 N Federal Hwy
Lighthouse Point, FL 33064-7057
Phone
(954) 421-9171
Fax
(954) 421-9191
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Peter Painter, D.C.
Title
Owner
Phone
(954) 421-9171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X CH6650 FL Primary

Addresses

Primary practice location

5002 N Federal Hwy
Lighthouse Point, FL 33064-7057

Mailing address

5002 N. Federal Hwy
FL, FL 33064
Phone (954) 421-9171

National Provider Directory

National Provider Directory

Locations

5002 N Federal Hwy
Lighthouse Point, FL 33064
Phone (954) 421-9171

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376694000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 N. FEDERAL HWY",
            "city": "FL",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-421-9171",
            "fax_number": "954-421-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 N FEDERAL HWY",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647057",
            "telephone_number": "954-421-9171",
            "fax_number": "954-421-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINTER CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-421-9171",
        "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": "CH6650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.