Individual provider Active NPI

Jeffrey A Frachtman, D.C.

  • Chiropractor
  • Coral Springs, FL
National Provider Identifier
1629128533
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0003476 Issued in FL
Practice address
4621 North Unversity Drive
Coral Springs, FL 33067-2014
Phone
(954) 341-5544
Fax
(954) 341-5444
NPI assigned
Jan 11, 2007
Last updated
Nov 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0003476 FL Primary

Addresses

Primary practice location

4621 North Unversity Drive
Coral Springs, FL 33067-2014

Mailing address

4621 North Unversity Drive
Coral Springs, FL 33067-2014
Phone (954) 341-5544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100507000110 FL Practitioner - Chiropractic 8325176795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0003476FLMDChiropractor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1629128533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 NORTH UNVERSITY DRIVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672014",
            "telephone_number": "954-341-5544",
            "fax_number": "954-341-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 NORTH UNVERSITY DRIVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672014",
            "telephone_number": "954-341-5544",
            "fax_number": "954-341-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRACHTMAN",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0003476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.