NPIMap

Organization Active NPI

Optimum Medical Care

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1558638296
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9111 Issued in FL
Legal business name
OPTIMUM MEDICAL CARE
Practice address
2695 N Military TRL Ste 26
West Palm Beach, FL 33409-2946
Phone
(561) 899-3180
Fax
(561) 899-3179
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Dr. Osly Philistin, DC
Title
Doctor
Phone
(561) 899-3180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH9111 FL Primary

Addresses

Primary practice location

2695 N Military TRL Ste 26
West Palm Beach, FL 33409-2946

Mailing address

2695 N Military TRL Ste 26
West Palm Beach, FL 33409-2946
Phone (561) 899-3180

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1558638296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 N MILITARY TRL STE 26",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092946",
            "telephone_number": "561-899-3180",
            "fax_number": "561-899-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 N MILITARY TRL STE 26",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092946",
            "telephone_number": "561-899-3180",
            "fax_number": "561-899-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "PHILISTIN",
        "authorized_official_first_name": "OSLY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "561-899-3180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.