Active NPI
Gregg R Popkin, D.C.
- Rehabilitation Chiropractor
- Fort Lauderdale, FL
National Provider Identifier
1639218993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH-7081
- Practice address
- 4384 NW 31St Ave
Fort Lauderdale, FL 33309-4206 - Phone
- (954) 486-1377
- Fax
- (943) 486-1374
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH-7081 | FL | Primary |
Addresses
Primary practice location
4384 NW 31St Ave
Fort Lauderdale, FL 33309-4206
Mailing address
4631 NW 31St Ave
#135
Fort Lauderdale, FL 33309-3433
Phone (954) 486-1377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH-7081 | FL | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J.R.P. Diagnostics & Rehab, Inc | Past | Accepting new patients |
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.
-
- Chiropractor
- Fort Lauderdale, FL
- NPI 1225160104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1639218993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4631 NW 31ST AVE",
"address_2": "#135",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093433",
"telephone_number": "954-486-1377",
"fax_number": "954-486-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4384 NW 31ST AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333094206",
"telephone_number": "954-486-1377",
"fax_number": "943-486-1374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPKIN",
"first_name": "GREGG",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "CH-7081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.