Organization Active NPI

Wasserman Chiropractic

  • Chiropractor
  • Coral Springs, FL
National Provider Identifier
1396711388
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4209 Issued in FL
Legal business name
WASSERMAN CHIROPRACTIC
Practice address
10394 W Sample Rd
Coral Springs, FL 33065-3942
Phone
(954) 755-1980
Fax
(954) 755-1994
NPI assigned
Feb 28, 2006
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. Andrew S. Wasserman, D.C.
Title
President/Owner
Phone
(954) 755-1980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH4209 FL Primary

Addresses

Primary practice location

10394 W Sample Rd
Coral Springs, FL 33065-3942

Mailing address

4080 NW 100TH Ave
Coral Springs, FL 33065-1549
Phone (954) 755-9292

Other identifiers 1

IdentifierTypeStateIssuer
238106OtherGAAVMED

National Provider Directory

National Provider Directory
Tax ID family
Wasserman Chiropractic Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396711388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 NW 100TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651549",
            "telephone_number": "954-755-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10394 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653942",
            "telephone_number": "954-755-1980",
            "fax_number": "954-755-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASSERMAN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-755-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "238106",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, 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.