Coral Reef Chiropractic Center PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0006601 Issued in FL

Legal business name

CORAL REEF CHIROPRACTIC CENTER PA

Practice address

9044 SW 152ND St
Palmetto Bay, FL 33157-1928

Phone

(305) 255-2499

Fax

(305) 252-9849

NPI assigned

Mar 6, 2012

Last updated

Mar 6, 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. Mark Steven Pepin, D.C.NPI 1871606012

Title

Pres

Phone

(305) 255-2499

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Mark Steven Pepin, D.C.

  • Chiropractor
  • Village of Palmetto Bay, FL
  • NPI 1871606012
  Authorized official Same address or phone
• Benjamin Pepin, DC

  • Chiropractor
  • Palmetto Bay, FL
  • NPI 1124811625
  NPD

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1588938765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9044 SW 152ND ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571928",
            "telephone_number": "305-255-2499",
            "fax_number": "305-252-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9044 SW 152ND ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571928",
            "telephone_number": "305-255-2499",
            "fax_number": "305-252-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL REEF CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "PEPIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "305-255-2499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380291400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goumah Marie Conde, RMFTI
• Ivisleidy Conesa
• Connection Behavior Therapy
• Alfredo Contino, DDS
• Aliett Contino, DDS
• Edwin A Cordero, MD
• Jessica Maria Coriat
• Alexandra Cornish, CRNA
• Russell Correa, ED.M,, LMHC
• Carmen M. Cortes, M.A., CCC/SLP

• Chiropractor in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.