Elite Chiro Group LLC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10383 Issued in FL

Legal business name

ELITE CHIRO GROUP LLC.

Practice address

2555 Collins Ave
Suite C4
Miami Beach, FL 33140-4723

Phone

(305) 674-9321

Fax

(305) 674-9186

NPI assigned

Jul 31, 2012

Last updated

Jul 31, 2012By 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

Dr. Richard Samperisi, D.C.

Title

Sole Member

Phone

(305) 674-9321

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1528314390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 COLLINS AVE",
            "address_2": "SUITE C4",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404723",
            "telephone_number": "305-674-9321",
            "fax_number": "305-674-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 COLLINS AVE",
            "address_2": "SUITE C4",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404723",
            "telephone_number": "305-674-9321",
            "fax_number": "305-674-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHIRO GROUP LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "SAMPERISI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "305-674-9321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.