Organization Active NPI

Hedglon Chiropractic Center Inc

  • Rehabilitation Chiropractor
  • Pompano Beach, FL
National Provider Identifier
1750348223
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH0005123 Issued in FL
Legal business name
HEDGLON CHIROPRACTIC CENTER INC
Practice address
1313 E Sample Rd
Pompano Beach, FL 33064-6244
Phone
(954) 946-1799
Fax
(954) 946-7801
NPI assigned
Apr 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Dr. Paula R Hedglon, DCNPI 1922065390
Title
President
Phone
(954) 946-1799

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X CH0005123 FL Primary

Addresses

Primary practice location

1313 E Sample Rd
Pompano Beach, FL 33064-6244

Mailing address

1313 E Sample Rd
Pompano Beach, FL 33064-6244
Phone (954) 946-1799

Other identifiers 1

IdentifierTypeStateIssuer
22225OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110321000247 FL Part B Supplier - Clinic/Group Practice 5698958247 Receives reassigned benefits from 1 practitioner
Practice locations: Pompano Beach, FL

National Provider Directory

National Provider Directory

Locations

1313 E Sample Rd
Pompano Beach, FL 33064
Phone (954) 946-1799

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1750348223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E SAMPLE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646244",
            "telephone_number": "954-946-1799",
            "fax_number": "954-946-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E SAMPLE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646244",
            "telephone_number": "954-946-1799",
            "fax_number": "954-946-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDGLON CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "HEDGLON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-946-1799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH0005123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "22225",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.