Individual provider Active NPI

Clifton David Okman, D.C.

  • Sports Physician Chiropractor
  • Lauderhill, FL
National Provider Identifier
1619086774
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH4184 Issued in FL
Practice address
7244 W Oakland Park Blvd
Lauderhill, FL 33313-1041
Phone
(954) 748-5500
Fax
(954) 748-7500
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X CH4184 FL Primary
Sports Physician Chiropractor 111NS0005X CH4014 CO

Addresses

Primary practice location

7244 W Oakland Park Blvd
Lauderhill, FL 33313-1041

Mailing address

7244 W Oakland Park Blvd
Lauderhill, FL 33313-1041
Phone (954) 748-5500

Other identifiers 1

IdentifierTypeStateIssuer
380981100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121025000186 FL Practitioner - Chiropractic 7719137843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7244 W Oakland Park Blvd
Lauderhill, FL 33313-1041
Phone (954) 748-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH4014COMDSports Physician Chiropractor
CH4184FLMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Clifton D. Okman P.a. CurrentSince Jul 21, 2012 Accepting new patients

Locations

7244 W Oakland Park Blvd
Lauderhill, FL 33313
Phone (954) 748-5500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619086774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7244 W OAKLAND PARK BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131041",
            "telephone_number": "954-748-5500",
            "fax_number": "954-748-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7244 W OAKLAND PARK BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131041",
            "telephone_number": "954-748-5500",
            "fax_number": "954-748-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKMAN",
        "first_name": "CLIFTON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH4184",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "CH4014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380981100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.