Clinical Chiropractic Group, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 7805 Issued in FL

Legal business name

CLINICAL CHIROPRACTIC GROUP, INC.

Practice address

6918 Cypress Rd
Plantation, FL 33317-2318

Phone

(954) 701-5194

Fax

(954) 701-5191

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Richard Cooper, D.C.NPI 1952332892

Title

Owner

Phone

(754) 701-5194

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• William Richard Cooper, DC

  • Chiropractor
  • Plantation, FL
  • NPI 1952332892
  Medicare reassignment NPD Authorized official
• Anthony Aquino, DC

  • Chiropractor
  • Fort Lauderdale, FL
  • NPI 1306818067
  NPD (past)
• Caz Goodman, D.C.

  • Chiropractor
  • Lawrenceville, GA
  • NPI 1336261189
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1669587259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 CYPRESS RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172318",
            "telephone_number": "954-701-5194",
            "fax_number": "954-701-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 CYPRESS RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172318",
            "telephone_number": "954-701-5194",
            "fax_number": "954-701-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CHIROPRACTIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-701-5194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 7805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382046700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latravia Antinette Clayton
• Katia Clervil
• Cleveland Urgent Care & Podiatrist Group, Inc.
• Amanda Marie Clichy-Silva, MD
• Clinica Las Mercedes, LLC
• Clinicmeds
• CLR Consulting Services, LLC
• Aiza Dela Cruz Clyde, COTA/L
• Sherika Coates
• Julie Cobb

• Chiropractor in Plantation, FL
• Providers in Plantation, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.