Active NPI
Marcus Chiropractic Center, Inc
- Chiropractor
- Ft Lauderdale, FL
National Provider Identifier
1699043851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7508
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter J. Marcus, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381384300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Fort Lauderdale, FL
- NPI 1447313119
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.