Individual provider Active NPI

Stephen Prefer, DC

  • Chiropractor
  • Palm Beach Gardens, FL
National Provider Identifier
1396966859
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8714 Issued in FL
Practice address
3309 Northlake Blvd
#106
Palm Beach Gardens, FL 33403
Phone
(561) 691-6202
Fax
(561) 691-6202
NPI assigned
May 1, 2007
Last updated
May 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8714 FL Primary

Addresses

Primary practice location

3309 Northlake Blvd
#106
Palm Beach Gardens, FL 33403

Mailing address

3309 Northlake Blvd
#106
Palm Beach Gardens, FL 33403
Phone (561) 691-6202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131213001426 FL Practitioner - Chiropractic 2062649254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3309 Northlake Blvd
Suite 106
Palm Beach Gardens, FL 33403-1705
Phone (561) 691-6202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8714FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Chiropractic LLC Chiropractor CurrentSince Oct 1, 2013 Accepting new patients

Locations

3309 Northlake Blvd
Ste 106
Palm Beach Gardens, FL 33403
Phone (561) 691-6202

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1396966859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 NORTHLAKE BLVD",
            "address_2": "#106",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33403",
            "telephone_number": "561-691-6202",
            "fax_number": "561-691-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 NORTHLAKE BLVD",
            "address_2": "#106",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33403",
            "telephone_number": "561-691-6202",
            "fax_number": "561-691-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREFER",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.