NPIMap

Organization Active NPI

Paramount Wellness Group LLC

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1467757393
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8419 Issued in FL
Legal business name
PARAMOUNT WELLNESS GROUP LLC
Practice address
2745 E. Oakland Park Blvd.
Fort Lauderdale, FL 33306
Phone
(954) 630-1616
Fax
(954) 656-1365
NPI assigned
Jan 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Mr. James E. Jack, JAMES E JACK DC
Title
Doctor (Chiropractor)
Phone
(954) 630-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8419 FL Primary

Addresses

Primary practice location

2745 E. Oakland Park Blvd.
Fort Lauderdale, FL 33306

Mailing address

2745 E. Oakland Park Blvd.
Fort Lauderdale, FL 33306
Phone (954) 630-1616

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1467757393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 E. OAKLAND PARK BLVD.",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-630-1616",
            "fax_number": "954-656-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 E. OAKLAND PARK BLVD.",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-630-1616",
            "fax_number": "954-656-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "JACK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DOCTOR (CHIROPRACTOR)",
        "authorized_official_telephone_number": "954-630-1616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JAMES E JACK DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.