Organization Active NPI

Good Vibrations LLC

  • Durable Medical Equipment & Medical Supplies
  • Hollywood, FL
National Provider Identifier
1619166030
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GOOD VIBRATIONS LLC
Practice address
4104 N 50TH Ave
Hollywood, FL 33021-1617
Phone
(954) 963-7273
Fax
(954) 964-6397
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Richard D Koenig, DPM
Title
Ceo
Phone
(954) 963-7273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X FL Primary

Addresses

Primary practice location

4104 N 50TH Ave
Hollywood, FL 33021-1617

Mailing address

4104 N 50TH Ave.
Hollywood, FL 33021-1617
Phone (954) 963-7273

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1619166030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 N 50TH AVE.",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211617",
            "telephone_number": "954-963-7273",
            "fax_number": "954-964-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 N 50TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211617",
            "telephone_number": "954-963-7273",
            "fax_number": "954-964-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD VIBRATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-963-7273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.