Organization Active NPI

Deerfield Beach Pain Treatment Center, Inc.

  • Chiropractor
  • Deerfield Beach, FL
National Provider Identifier
1649492182
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DEERFIELD BEACH PAIN TREATMENT CENTER, INC.
Practice address
192 North Federal Highway
Deerfield Beach, FL 33441
Phone
(954) 834-0800
NPI assigned
May 3, 2007
Last updated
May 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Dr. Richard J Ridky, DCNPI 1306064951
Title
President
Phone
(561) 432-6021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

192 North Federal Highway
Deerfield Beach, FL 33441

Mailing address

P.O. Box 1623
Deerfield Beach, FL 33443
Phone (561) 432-6021

National Provider Directory

National Provider Directory

Locations

192 N Federal Hwy
Deerfield Beach, FL 33441
Phone (561) 445-1232

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1649492182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1623",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33443",
            "telephone_number": "561-432-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 NORTH FEDERAL HIGHWAY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33441",
            "telephone_number": "954-834-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD BEACH PAIN TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "RIDKY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-432-6021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.