Organization Active NPI

North Lauderdale Chiropractic Center, Inc.

  • Chiropractor
  • Fort Lauderdale, FL
National Provider Identifier
1750408290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5008 Issued in FL
Legal business name
NORTH LAUDERDALE CHIROPRACTIC CENTER, INC.
Practice address
5460 N State Road 7
Suite 112
Fort Lauderdale, FL 33319-2952
Phone
(954) 735-3339
Fax
(954) 735-3386
NPI assigned
Mar 22, 2007
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. Douglas D. Gagnon, D.C.NPI 1306962378
Title
President
Phone
(954) 735-3339

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5008 FL Primary

Addresses

Primary practice location

5460 N State Road 7
Suite 112
Fort Lauderdale, FL 33319-2952

Mailing address

5460 N State Road 7
Suite 112
Fort Lauderdale, FL 33319-2952
Phone (954) 735-3339

National Provider Directory

National Provider Directory

Locations

5460 N State Road 7
Ste 112
Fort Lauderdale, FL 33319
Phone (954) 735-3339

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750408290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 N STATE ROAD 7",
            "address_2": "SUITE 112",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333192952",
            "telephone_number": "954-735-3339",
            "fax_number": "954-735-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 N STATE ROAD 7",
            "address_2": "SUITE 112",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333192952",
            "telephone_number": "954-735-3339",
            "fax_number": "954-735-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAUDERDALE CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-735-3339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "5008",
            "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 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.