Organization Active NPI

Ibanez Chiropractic LLC

  • Chiropractor
  • Miami, FL
National Provider Identifier
1649689407
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11143 Issued in FL
Legal business name
IBANEZ CHIROPRACTIC LLC
Practice address
11601 Biscayne Blvd
Suite 306
Miami, FL 33181-3151
Phone
(305) 600-9863
Fax
(786) 332-4065
NPI assigned
Aug 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Kristin Ibanez, DCNPI 1184040602
Title
Owner
Phone
(305) 600-9863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11143 FL Primary

Addresses

Primary practice location

11601 Biscayne Blvd
Suite 306
Miami, FL 33181-3151

Mailing address

11601 Biscayne Blvd
Suite 306
Miami, FL 33181-3151
Phone (305) 600-9863

National Provider Directory

National Provider Directory

Locations

11601 Biscayne Blvd
Ste 306
North Miami, FL 33181
Phone (305) 600-9863

Practitioners & affiliated clinicians

Practitioners 1

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": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1649689407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 BISCAYNE BLVD",
            "address_2": "SUITE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331813151",
            "telephone_number": "305-600-9863",
            "fax_number": "786-332-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 BISCAYNE BLVD",
            "address_2": "SUITE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331813151",
            "telephone_number": "305-600-9863",
            "fax_number": "786-332-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBANEZ CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-600-9863",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.