NPIMap

Organization Active NPI

Florida Chiropractic & Sports Rehab Center Davie, LLC

  • Chiropractor
  • Plantation, FL
National Provider Identifier
1700077963
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9169 Issued in FL
Legal business name
FLORIDA CHIROPRACTIC & SPORTS REHAB CENTER DAVIE, LLC
Practice address
350 N Pine Island Rd Ste 200
Plantation, FL 33324-1849
Phone
(954) 378-8285
Fax
(954) 404-9530
NPI assigned
Aug 5, 2007
Last updated
Jul 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Dr. Alan D Testa, DCNPI 1194867051
Title
Chiropractor / Partner
Phone
(954) 378-8285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7801 FL
Chiropractor 111N00000X CH9169 FL
Chiropractor 111N00000X 9169 FL Primary

Addresses

Primary practice location

350 N Pine Island Rd Ste 200
Plantation, FL 33324-1849

Mailing address

8325 NW 30TH St
Pembroke Pines, FL 33024-3192
Phone (954) 378-8285

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1700077963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 NW 30TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243192",
            "telephone_number": "954-378-8285",
            "fax_number": "954-451-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N PINE ISLAND RD STE 200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241849",
            "telephone_number": "954-378-8285",
            "fax_number": "954-404-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CHIROPRACTIC & SPORTS REHAB CENTER DAVIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "TESTA",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTOR / PARTNER",
        "authorized_official_telephone_number": "954-378-8285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7801",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9169",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.