Organization Active NPI

Kellerman Family Chiropractic Inc

  • Chiropractor
  • Oakland Park, FL
National Provider Identifier
1750468195
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8001 Issued in FL
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Dr. Douglas Kellerman, DCNPI 1194863100
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
53928OtherFLBCBS

Other names 1

  • Dr Douglas Kellerman Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.