Active NPI
Joseph Michael Buckley, D.C.
- Chiropractor
- Pembroke Pines, FL
National Provider Identifier
1669533626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH6662
- Practice address
- 18501 Pines Blvd Ste 104
Pembroke Pines, FL 33029-1414 - Phone
- (954) 432-3343
- Fax
- (954) 450-2565
- NPI assigned
- Dec 13, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH6662 | FL | Primary |
Addresses
Primary practice location
18501 Pines Blvd Ste 104
Pembroke Pines, FL 33029-1414
Mailing address
18501 Pines Blvd Ste 104
Pembroke Pines, FL 33029-1414
Phone (954) 432-3343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18501 Pines Blvd
Pembroke Pines, FL 33029-1414
Phone (954) 432-3343
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH6662 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pines West Chiropractic Inc | Chiropractor | Current | Accepting new patients |
Locations
18501 Pines Blvd
Ste 103
Pembroke Pines, FL 33029
18501 Pines Blvd
Ste 104
Pembroke Pines, FL 33029
Phone (954) 432-3343
Networks
- Freedom Health HMO Network
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
- Pembroke Pines, FL
- NPI 1760516546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1669533626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18501 PINES BLVD STE 104",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330291414",
"telephone_number": "954-432-3343",
"fax_number": "954-450-2565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18501 PINES BLVD STE 104",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330291414",
"telephone_number": "954-432-3343",
"fax_number": "954-450-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH6662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.