Chiro Medical Clinic, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CHIRO MEDICAL CLINIC, INC.

Doing business as

C M Diagnostic, Inc.

Practice address

4021 N Andrews Ave Ste 6
Ft Lauderdale, FL 33309-5297

Phone

(954) 396-9943

Fax

(954) 630-3359

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By 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

Kathleen Gregg

Title

President

Phone

(954) 396-9943

Specialties & licenses 1

Addresses

Other names 1

• C M DIAGNOSTIC, INC. Doing business as

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497896278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 N ANDREWS AVE STE 6",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095297",
            "telephone_number": "954-396-9943",
            "fax_number": "954-630-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 N ANDREWS AVE STE 6",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095297",
            "telephone_number": "954-396-9943",
            "fax_number": "954-630-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-396-9943"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C M DIAGNOSTIC, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Childrens Diagnostic & Treatment Center Inc (Broward Health CDTC Outpatient Pharmacy)
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• Joan E Childs, LCSW
• Soraya Kimberly Chinloy
• Chiro at FLL LLC
• Chiro-Medical Pain Relief Center, Inc.
• Chiro-Wellness Mobile Services Inc
• Chirocare of Ft. Lauderdale. LLC
• Chiropractic Center & Rehab
• Chiropractic Healing Arts Center, PLLC.

• Specialist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.