Organization Active NPI

Clarke Chiropractic and Rehabilitation

  • Chiropractor
  • Lauderdale Lakes, FL
National Provider Identifier
1396018040
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10510 Issued in FL
Legal business name
CLARKE CHIROPRACTIC AND REHABILITATION
Practice address
4000 N State Road 7
Suite 409
Lauderdale Lakes, FL 33319-4804
Phone
(954) 769-0790
Fax
(954) 530-7267
NPI assigned
Feb 10, 2012
Last updated
Oct 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Dr. Shereffa Clarke, D.C.
Title
Owner
Phone
(954) 769-0790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10510 FL Primary

Addresses

Primary practice location

4000 N State Road 7
Suite 409
Lauderdale Lakes, FL 33319-4804

Mailing address

4000 N State Road 7
Suite 409
Lauderdale Lakes, FL 33319-4804
Phone (954) 769-0790

National Provider Directory

National Provider Directory

Locations

4000 N State Road 7
Ste 409
Lauderdale Lakes, FL 33319
Phone (954) 769-0790

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1396018040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N STATE ROAD 7",
            "address_2": "SUITE 409",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194804",
            "telephone_number": "954-769-0790",
            "fax_number": "954-530-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N STATE ROAD 7",
            "address_2": "SUITE 409",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194804",
            "telephone_number": "954-769-0790",
            "fax_number": "954-530-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE CHIROPRACTIC AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "SHEREFFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-769-0790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.