Active NPI
Ideal Health and Rehab, PL
- Chiropractor
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10443
- 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
- Last updated
- Aug 13, 2014
- Organization subpart
- No
NPPES NPI Registry
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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10443 | FL | Primary |
Addresses
Primary practice location
8430 W Broward Blvd
Ste 250
Plantation, FL 33324-2700
Mailing address
8430 W Broward Blvd
Ste 250
Plantation, FL 33324-2700
Phone (954) 772-9052
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2072547 | Ideal Health and Rehab PL | Certificate of waiver | Feb 2, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Plantation, FL
- NPI 1255618120
NPI Registry JSON
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": []
}
Other providers in Plantation, FL
Sources for this page
- 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.