NPIMap

Organization Active NPI

Medichiro PA

  • Chiropractor
  • Hollywood, FL
National Provider Identifier
1710909841
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8577 Issued in FL
Legal business name
MEDICHIRO PA
Practice address
3391 Sheridan St
Hollywood, FL 33021-3606
Phone
(954) 696-8141
Fax
(954) 779-3457
NPI assigned
Jul 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frank Peter Diblase, D.CNPI 1043258601
Title
C.E.O
Phone
(954) 696-8141

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8577 FL Primary

Addresses

Primary practice location

3391 Sheridan St
Hollywood, FL 33021-3606

Mailing address

1228 N Victoria Park Rd
Fort Lauderdale, FL 33304-2418
Phone (954) 696-8141

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710909841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 N VICTORIA PARK RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042418",
            "telephone_number": "954-696-8141",
            "fax_number": "954-779-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3391 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213606",
            "telephone_number": "954-696-8141",
            "fax_number": "954-779-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICHIRO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIBLASE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "954-696-8141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.