NPIMap

Organization Active NPI

Lance Wald DC PA

  • Chiropractor
  • Deerfield Beach, FL
National Provider Identifier
1649526179
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7808 Issued in FL
Legal business name
LANCE WALD DC PA
Practice address
100 S Military TRL Ste 18
Deerfield Beach, FL 33442-3031
Phone
(954) 570-4080
Fax
(866) 715-7529
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Dr. Lance Cary Wald, D.C.
Title
President
Phone
(954) 570-4080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7808 FL Primary

Addresses

Primary practice location

100 S Military TRL Ste 18
Deerfield Beach, FL 33442-3031

Mailing address

100 S Military TRL Ste 18
Deerfield Beach, FL 33442-3031
Phone (954) 570-4080

National Provider Directory

National Provider Directory

Locations

100 S Military Trl
Ste 18
Deerfield Beach, FL 33442
Phone (954) 570-4080

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1649526179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRL STE 18",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423031",
            "telephone_number": "954-570-4080",
            "fax_number": "866-715-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRL STE 18",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423031",
            "telephone_number": "954-570-4080",
            "fax_number": "866-715-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE WALD DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "WALD",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "CARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-570-4080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7808",
            "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 Oct 2, 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.

Verify at the official NPI Registry.