Organization Active NPI

Golden Chiropractic LLC

  • Health Service Clinic/Center
  • Naples, FL
National Provider Identifier
1508190232
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CH6210 Issued in FL
Legal business name
GOLDEN CHIROPRACTIC LLC
Practice address
4730 Golden Gate Pkwy
#A
Naples, FL 34116-6967
Phone
(954) 441-7100
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Dr. Richard Blum, D.C.
Title
Chiropractor/Owner
Phone
(954) 441-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X CH6210 FL Primary

Addresses

Primary practice location

4730 Golden Gate Pkwy
#A
Naples, FL 34116-6967

Mailing address

1910 NW 120TH Ter
Pembroke Pines, FL 33026-1944
Phone (954) 441-7100

Other identifiers 1

IdentifierTypeStateIssuer
380104700MedicaidFL

National Provider Directory

National Provider Directory

Locations

4730 Golden Gate Pkwy
Ste A
Naples, FL 34116
Phone (239) 403-8484

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1508190232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 NW 120TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330261944",
            "telephone_number": "954-441-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 GOLDEN GATE PKWY",
            "address_2": "#A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166967",
            "telephone_number": "954-441-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "954-441-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "CH6210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380104700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.