Organization Active NPI

Nathanson Chiropractic PA

  • Chiropractor
  • Lake Worth, FL
National Provider Identifier
1508896531
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0001974 Issued in FL
Legal business name
NATHANSON CHIROPRACTIC PA
Practice address
409 S Dixie Hwy
Lake Worth, FL 33460-4442
Phone
(561) 582-5433
Fax
(561) 585-0074
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael E Nathanson, DC
Title
President
Phone
(561) 582-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0001974 FL Primary

Addresses

Primary practice location

409 S Dixie Hwy
Lake Worth, FL 33460-4442

Mailing address

409 S Dixie Hwy
Lake Worth, FL 33460-4442
Phone (561) 582-5433

Other identifiers 1

IdentifierTypeStateIssuer
89368OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508896531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S DIXIE HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604442",
            "telephone_number": "561-582-5433",
            "fax_number": "561-585-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S DIXIE HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604442",
            "telephone_number": "561-582-5433",
            "fax_number": "561-585-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHANSON CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NATHANSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-582-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0001974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "89368",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • 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.