Mint Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MINT CHIROPRACTIC, LLC

Practice address

6245 N Federal Hwy Ste 405
Ft Lauderdale, FL 33308-1998

Phone

(866) 305-6468

Fax

(866) 805-6466

NPI assigned

Apr 14, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Binyamin Sussman, DC

Title

Owner

Phone

(866) 305-6468

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1720607336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 N FEDERAL HWY STE 405",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081998",
            "telephone_number": "866-305-6468",
            "fax_number": "866-805-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 N FEDERAL HWY STE 405",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081998",
            "telephone_number": "866-305-6468",
            "fax_number": "866-805-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "SUSSMAN",
        "authorized_official_first_name": "BINYAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-305-6468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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