Individual provider Active NPI

Veronica Valentine, D.C.

  • Chiropractor
  • Sunrise, FL
National Provider Identifier
1699760470
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006083 Issued in FL
Practice address
10113 Sunset Strip
Sunrise, FL 33322-2619
Phone
(954) 530-8507
Fax
(954) 652-1538
NPI assigned
Sep 16, 2005
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0006083 FL Primary

Addresses

Primary practice location

10113 Sunset Strip
Sunrise, FL 33322-2619

Mailing address

10113 Sunset Strip
Sunrise, FL 33322-2619
Phone (954) 530-8507

Other identifiers 2

IdentifierTypeStateIssuer
055876100MedicaidFL
10749944OtherFLCAQH PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120127000056 FL Practitioner - Chiropractic 8325215668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10113 Sunset Strip
Sunrise, FL 33322-2619
Phone (954) 530-8507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6083FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valentine Family Chiropractic, LLC Chiropractor CurrentSince Jun 23, 2018 Accepting new patients
Regenerative Sports Medicine, LLC CurrentSince Feb 16, 2025 Accepting new patients
Recharge Therapy & Wellness LLC PastSince Jul 1, 2023 Accepting new patients

Locations

10113 Sunset Strip
Sunrise, FL 33322
Phone (954) 530-8507

3417 N Hiatus Rd
Sunrise, FL 33351
Phone (954) 530-8507

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1699760470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10113 SUNSET STRIP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222619",
            "telephone_number": "954-530-8507",
            "fax_number": "954-652-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10113 SUNSET STRIP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222619",
            "telephone_number": "954-530-8507",
            "fax_number": "954-652-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055876100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER NUMBER",
            "identifier": "10749944",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.