Organization Active NPI

Accident & Injury Wellness Center LLC

  • Chiropractor
  • Plantation, FL
National Provider Identifier
1477833630
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8447 Issued in FL
Legal business name
ACCIDENT & INJURY WELLNESS CENTER LLC
Practice address
1261 South Pine Island Road
Plantation, FL 33324
Phone
(561) 843-5962
NPI assigned
Aug 19, 2011
Last updated
Aug 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Dr. Richard Joel Rosen, D.C.
Title
President
Phone
(561) 843-5962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 8447 FL Primary

Addresses

Primary practice location

1261 South Pine Island Road
Plantation, FL 33324

Mailing address

2612 NW 39TH St
Boca Raton, FL 33434
Phone (561) 843-5962

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1477833630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 NW 39TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33434",
            "telephone_number": "561-843-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 SOUTH PINE ISLAND ROAD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "561-843-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT & INJURY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-843-5962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "8447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.