Individual provider Active NPI

Devin Marder, DC

  • Chiropractor
  • Hollywood, FL
National Provider Identifier
1396515417
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14360 Issued in FL
Practice address
3900 Hollywood Blvd Ste 204
Hollywood, FL 33021-6797
Phone
(954) 866-9693
NPI assigned
Jan 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14360 FL Primary

Addresses

Primary practice location

3900 Hollywood Blvd Ste 204
Hollywood, FL 33021-6797

Mailing address

3209 SW 173Rd Ter
Miramar, FL 33029-5583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124004482 FL Practitioner - Chiropractic 0244683332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Royal Palm Beach Rehab, CorpGroup PAC ID 3476683335, 62 clinicians

Practice addresses (Care Compare)

3900 Hollywood Blvd
Suite 204
Hollywood, FL 33021-6797
Phone (954) 866-9693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14360FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Palm Beach Rehab, Corp Chiropractor Current Accepting new patients
Royal Palm Beach Rehab Corp CurrentSince Dec 23, 2023 Accepting new patients
Royal Palm Beach Rehab, Corp Chiropractor CurrentSince Dec 23, 2023 Accepting new patients

Locations

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

3900 Hollywood Blvd
Ste 204
Hollywood, FL 33021
Phone (305) 306-0600

100 NW 82nd Ave
Ste 204
Plantation, FL 33324
Phone (954) 474-0416

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1396515417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 SW 173RD TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 HOLLYWOOD BLVD STE 204",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216797",
            "telephone_number": "954-866-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDER",
        "first_name": "DEVIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.