Active NPI
Kellerman Family Chiropractic Inc
- Chiropractor
- Oakland Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8001
- Legal business name
- KELLERMAN FAMILY CHIROPRACTIC INC
- Practice address
- 410 E Prospect Rd
Oakland Park, FL 33334-1423 - Phone
- (954) 561-4700
- Fax
- (954) 561-0812
- NPI assigned
- Nov 1, 2006
- Last updated
- Jan 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Kellerman, DC
- Title
- President
- Phone
- (561) 296-8484
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8001 | FL | Primary |
Addresses
Primary practice location
410 E Prospect Rd
Oakland Park, FL 33334-1423
Mailing address
410 E Prospect Rd
Oakland Park, FL 33334-2970
Phone (954) 561-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53928 | Other | FL | BCBS |
Other names 1
- Dr Douglas Kellerman
National Provider Directory
National Provider DirectoryLocations
6801 Lake Worth Rd
Ste 108
Greenacres, FL 33467
Phone (561) 296-8484
12008 South Shore Blvd
Ste 112
Wellington, FL 33414
Phone (561) 296-8484
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.
-
- Chiropractor
- Oakland Park, FL
- NPI 1194863100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485734400000",
"number": "1750468195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 E PROSPECT RD",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333342970",
"telephone_number": "954-561-4700",
"fax_number": "954-561-0812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E PROSPECT RD",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333341423",
"telephone_number": "954-561-4700",
"fax_number": "954-561-0812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLERMAN FAMILY CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2017-01-30",
"status": "A",
"authorized_official_last_name": "KELLERMAN",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-296-8484",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "53928",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr Douglas Kellerman",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.