3Rd-Leg of the Stool

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CH5524 Issued in FL

Legal business name

3RD-LEG OF THE STOOL

Practice address

800 Jeffery St Apt 407
Boca Raton, FL 33487-4166

Phone

(954) 341-6446

NPI assigned

Apr 24, 2014

Last updated

Apr 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Shader, DCNPI 1629499041

Title

Pres

Phone

(954) 341-6446

Specialties & licenses 1

Addresses

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.

• Mark Shader, DC

  • Nutrition Chiropractor
  • Boca Raton, FL
  • NPI 1629499041
  NPD (past) Authorized official

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1407276777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 JEFFERY ST APT 407",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874166",
            "telephone_number": "954-341-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JEFFERY ST APT 407",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874166",
            "telephone_number": "954-341-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3RD-LEG OF THE STOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "SHADER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "954-341-6446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH5524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Chiropractor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Nutrition Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.