Ideal Health and Rehab, PL

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10443 Issued in FL

Legal business name

IDEAL HEALTH AND REHAB, PL

Practice address

8430 W Broward Blvd
Ste 250
Plantation, FL 33324-2700

Phone

(954) 772-9052

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mehrtash Davari, D.C.

Title

Chiropractic Physician and Owner

Phone

(954) 772-9052

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1386043529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 W BROWARD BLVD",
            "address_2": "STE 250",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242700",
            "telephone_number": "954-772-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 W BROWARD BLVD",
            "address_2": "STE 250",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242700",
            "telephone_number": "954-772-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HEALTH AND REHAB, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "DAVARI",
        "authorized_official_first_name": "MEHRTASH",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN AND OWNER",
        "authorized_official_telephone_number": "954-772-9052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ideal Dental Plantation PLLC
• Ideal Smiles Plantation, Inc.
• Muktiar Idrees
• Julia Digiano Ieslin, MOTR/L
• Ignacio Lopez-Merino, M.D., PA
• Olumide Ijishakin, MD

• Chiropractor in Plantation, FL
• Providers in Plantation, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.