Clydell Dewberry DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9460 Issued in FL

Legal business name

CLYDELL DEWBERRY DC PA

Practice address

9710 Stirling Road
Suite 112
Cooper City, FL 33024

Phone

(954) 745-8416

NPI assigned

Jun 3, 2009

Organization subpart

No

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

Authorized official

Name

Clydell Loran Dewberry, D.C.

Title

Chiropractor

Phone

(954) 745-8416

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1689800799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 STIRLING ROAD",
            "address_2": "SUITE 112",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-745-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 STIRLING ROAD",
            "address_2": "SUITE 112",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-745-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLYDELL DEWBERRY DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "DEWBERRY",
        "authorized_official_first_name": "CLYDELL",
        "authorized_official_middle_name": "LORAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "954-745-8416",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sona Elizabeth Chacko
• Karene Nicole Chen, MSPT
• Smit Chowdhary
• Dena J Christianson, ARNP
• Clifford S Golden Edd PA
• Jason M Cohen, CRNA
• Lori B Colan, MD
• Comfortable Care Dental Health Professionals, P.a.
• Community Children'S Therapy, Inc
• Compassionate Health Center LLC

• Chiropractor in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.