Organization Active NPI

Salvatore Larusso D C P a II

Doing business as Family Chiropractic Center of West Lake Worth, FL.

  • Chiropractor
  • Lake Worth, FL
National Provider Identifier
1568430866
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0005566 Issued in FL
Legal business name
SALVATORE LARUSSO D C P A II
Doing business as
Family Chiropractic Center of West Lake Worth, FL.
Practice address
3938 Pinehurst Drive
Lake Worth, FL 33467-2944
Phone
(561) 641-4900
Fax
(561) 641-0136
NPI assigned
Mar 10, 2006
Last updated
Nov 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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

Authorized official

Name
Dr. Dexter D Dimarco, DCNPI 1982694956
Title
President
Phone
(561) 641-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0005566 FL Primary
Nutritionist 133N00000X ND0001538 FL

Addresses

Primary practice location

3938 Pinehurst Drive
Lake Worth, FL 33467-2944

Mailing address

3938 Pinehurst Dr
Lake Worth, FL 33467-2944
Phone (561) 641-4900

Other names 1

  • Family Chiropractic Center of West Lake Worth, FL. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060824000509 FL Part B Supplier - Clinic/Group Practice 5294738654 Receives reassigned benefits from 3 practitioners
Practice locations: Lake Worth, FL

National Provider Directory

National Provider Directory

Locations

3938 Pinehurst Dr
Lake Worth, FL 33467
Phone (561) 461-4900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1568430866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 PINEHURST DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672944",
            "telephone_number": "561-641-4900",
            "fax_number": "561-641-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3938 PINEHURST DRIVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672944",
            "telephone_number": "561-641-4900",
            "fax_number": "561-641-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATORE LARUSSO D C P A II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "DIMARCO",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-641-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005566",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "ND0001538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic Center of West Lake Worth, FL.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.