Organization Active NPI

Page Chiropractic Life Center P a

  • Chiropractor
  • South Miami, FL
National Provider Identifier
1669624763
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7080 Issued in FL
Legal business name
PAGE CHIROPRACTIC LIFE CENTER P A
Practice address
6705 S Red Rd Ste 702
South Miami, FL 33143-3649
Phone
(305) 662-6433
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Dr. Raymond C Page, DCNPI 1174585863
Title
Owner
Phone
(305) 662-6433

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 CH7080 FL Primary

Addresses

Primary practice location

6705 S Red Rd Ste 702
South Miami, FL 33143-3649

Mailing address

6705 S Red Rd Ste 702
South Miami, FL 33143-3649
Phone (305) 662-6433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090121000459 FL Part B Supplier - Clinic/Group Practice 4183788003 Receives reassigned benefits from 1 practitioner
Practice locations: South Miami, FL

National Provider Directory

National Provider Directory

Locations

6301 Sunset Dr
Ste 203
South Miami, FL 33143
Phone (305) 662-6433

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": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1669624763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 S RED RD STE 702",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433649",
            "telephone_number": "305-662-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 S RED RD STE 702",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433649",
            "telephone_number": "305-662-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGE CHIROPRACTIC LIFE CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-662-6433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.