Cordero Chiropractic & Associates

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0006930 Issued in FL

Legal business name

CORDERO CHIROPRACTIC & ASSOCIATES

Practice address

650 Royal Palm Beach Blvd Ste 7
Royal Palm Beach, FL 33411-7661

Phone

(561) 795-3156

Fax

(561) 795-3126

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Debra A Cordero, BSA

Title

Office Manager

Phone

(561) 389-6829

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1699837641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 ROYAL PALM BEACH BLVD STE 7",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117661",
            "telephone_number": "561-795-3156",
            "fax_number": "561-795-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 ROYAL PALM BEACH BLVD STE 7",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117661",
            "telephone_number": "561-795-3156",
            "fax_number": "561-795-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDERO CHIROPRACTIC & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-389-6829",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR JOHN TERRANOVA",
            "identifier": "1407819675",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR EDWIN CORDERO",
            "identifier": "1891784583",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380743600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.