NPIMap

Organization Active NPI

Revive Family Chiropractic LLC

  • Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1538534375
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH10167 Issued in FL
Legal business name
REVIVE FAMILY CHIROPRACTIC LLC
Practice address
5601 N Federal Hwy
#2
Boca Raton, FL 33487-4012
Phone
(561) 997-7660
NPI assigned
Dec 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Dr. Sandy George, D.C.
Title
Chiropractor
Phone
(561) 350-0993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH10167 FL Primary

Addresses

Primary practice location

5601 N Federal Hwy
#2
Boca Raton, FL 33487-4012

Mailing address

5601 N Federal Hwy
#2
Boca Raton, FL 33487-4012
Phone (561) 997-7660

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1538534375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 N FEDERAL HWY",
            "address_2": "#2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874012",
            "telephone_number": "561-997-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 N FEDERAL HWY",
            "address_2": "#2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874012",
            "telephone_number": "561-997-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "561-350-0993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH10167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.