NPIMap

Organization Active NPI

Michael I Cohen D.C., P.a.

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1710134333
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6614 Issued in FL
Legal business name
MICHAEL I COHEN D.C., P.A.
Practice address
2631 E Oakland Park Blvd
Suite 104
Ft Lauderdale, FL 33306
Phone
(954) 537-5558
Fax
(954) 537-7997
NPI assigned
Aug 26, 2008
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Michael I Cohen, D.C.NPI 1225041015
Title
President
Phone
(954) 537-5558

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
Chiropractor 111N00000X CH6614 FL Primary

Addresses

Primary practice location

2631 E Oakland Park Blvd
Suite 104
Ft Lauderdale, FL 33306

Mailing address

2631 E Oakland Park Blvd
Ft Lauderdale, FL 33306-1657
Phone (954) 537-5558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110506000237 FL Part B Supplier - Clinic/Group Practice 2961687900 Receives reassigned benefits from 8 practitioners
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

2631 E Oakland Park Blvd
Ft Lauderdale, FL 33306

2631 E Oakland Park Blvd
Ste 104
Ft Lauderdale, FL 33306
Phone (954) 537-5558

Practitioners & affiliated clinicians

Practitioners 11

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": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1710134333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 E OAKLAND PARK BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061657",
            "telephone_number": "954-537-5558",
            "fax_number": "954-537-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 E OAKLAND PARK BLVD",
            "address_2": "SUITE 104",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-537-5558",
            "fax_number": "954-537-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL I COHEN D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-537-5558",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.