Organization Active NPI

Future Chiropractic Center LLC

  • Chiropractor
  • Turnersville, NJ
National Provider Identifier
1487812111
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00257300 Issued in NJ
Legal business name
FUTURE CHIROPRACTIC CENTER LLC
Practice address
501 Route 168
Turnersville, NJ 08012-1458
Phone
(856) 374-1200
Fax
(856) 401-3122
NPI assigned
May 29, 2008
Last updated
Dec 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Dr. Michael J. Miranda, DCNPI 1992770622
Title
President
Phone
(856) 374-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00257300 NJ Primary

Addresses

Primary practice location

501 Route 168
Turnersville, NJ 08012-1458

Mailing address

501 Route 168
Turnersville, NJ 08012-1458
Phone (856) 374-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130315000327 NJ Part B Supplier - Clinic/Group Practice 4486899663 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Laurel, NJ

National Provider Directory

National Provider Directory

Locations

498 Kings Hwy N
Cherry Hill, NJ 08034
Phone (609) 410-9015

3747 Church Rd
Ste 104A
Mount Laurel, NJ 08054
Phone (609) 410-9015

405 Hurffville Crosskeys Rd
Ste 103
Sewell, NJ 08080
Phone (856) 374-1200

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1487812111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ROUTE 168",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121458",
            "telephone_number": "856-374-1200",
            "fax_number": "856-401-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ROUTE 168",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121458",
            "telephone_number": "856-374-1200",
            "fax_number": "856-401-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-374-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00257300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.