Individual provider Active NPI

Maureen Davis, DC

  • Chiropractor
  • Hallandale Beach, FL
National Provider Identifier
1689772568
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHOOO7674 Issued in FL
Practice address
1001 N Federal Hwy
Ste 103
Hallandale Beach, FL 33009-2400
Phone
(954) 241-0145
Fax
(954) 987-3097
NPI assigned
Sep 21, 2006
Last updated
Dec 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHOOO7674 FL Primary

Addresses

Primary practice location

1001 N Federal Hwy
Ste 103
Hallandale Beach, FL 33009-2400

Mailing address

1560 S Dixie Hwy
Ste 206
Coral Gables, FL 33146-3074
Phone (305) 668-9545

Other identifiers 4

IdentifierTypeStateIssuer
465307OtherFLTUFTS PHCS
381425400MedicaidFL
P00089346OtherFLRAILROAD MEDICARE
54025OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100624000930 FL Practitioner - Chiropractic 1456317163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

801 N Federal Hwy
Unit 217
Hallandale, FL 33009-2445
Phone (954) 241-0145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHOOO7674FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Furshman and Davis Chiropractic Centers Inc Chiropractor Current Accepting new patients
Furshman and Davis Chiropractic Centers Inc Chiropractor CurrentSince Oct 2, 2002 Accepting new patients
Furshman and Davis Chiropractic Centers Inc Chiropractor CurrentSince Oct 2, 2002 Accepting new patients

Locations

1560 S Dixie Hwy
Ste 206
Coral Gables, FL 33146
Phone (305) 668-9545

1560 S Dixie Hwy
Ste A
Coral Gables, FL 33146

1001 N Federal Hwy
Ste 103
Hallandale Beach, FL 33009
Phone (954) 241-0145

801 N Federal Hwy
Ste 217
Hallandale Beach, FL 33009
Phone (954) 241-0145

7800 SW 57th Ave
Ste 202
South Miami, FL 33143
Phone (305) 668-9545

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1689772568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 S DIXIE HWY",
            "address_2": "STE 206",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463074",
            "telephone_number": "305-668-9545",
            "fax_number": "305-668-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N FEDERAL HWY",
            "address_2": "STE 103",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092400",
            "telephone_number": "954-241-0145",
            "fax_number": "954-987-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CHOOO7674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PHCS",
            "identifier": "465307",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381425400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00089346",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "54025",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.

Verify at the official NPI Registry.