Organization Active NPI

Marcus Chiropractic Center, Inc

  • Chiropractor
  • Ft Lauderdale, FL
National Provider Identifier
1699043851
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7508 Issued in FL
Legal business name
MARCUS CHIROPRACTIC CENTER, INC
Practice address
2710 E Oakland Park Blvd
Ft Lauderdale, FL 33306-1605
Phone
(954) 575-1175
Fax
(954) 566-0361
NPI assigned
Dec 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Dr. Peter J. Marcus, DCNPI 1447313119
Title
Owner/Director
Phone
(954) 575-1175

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 CH7508 FL Primary

Addresses

Primary practice location

2710 E Oakland Park Blvd
Ft Lauderdale, FL 33306-1605

Mailing address

2710 E. Oakland Park Blvd.
Ft. Lauderdale, FL 33306
Phone (954) 575-1175

Other identifiers 1

IdentifierTypeStateIssuer
381384300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120208000097 FL Part B Supplier - Clinic/Group Practice 4789841446 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

2710 E Oakland Park Blvd
Ft Lauderdale, FL 33306
Phone (954) 566-3027

Practitioners & affiliated clinicians

Practitioners 1

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": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1699043851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 E. OAKLAND PARK BLVD.",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-575-1175",
            "fax_number": "954-566-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 E OAKLAND PARK BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061605",
            "telephone_number": "954-575-1175",
            "fax_number": "954-566-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "954-575-1175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381384300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.