NPIMap

Organization Active NPI

Jerdeb Chiropractic Inc

Doing business as Parkway Plaza Chiropractic Center

  • Chiropractor
  • Pompano Beach, FL
National Provider Identifier
1770798217
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JERDEB CHIROPRACTIC INC
Doing business as
Parkway Plaza Chiropractic Center
Practice address
1280 S Powerline Rd
Suite 4
Pompano Beach, FL 33069-4339
Phone
(954) 234-5268
NPI assigned
May 10, 2007
Last updated
Dec 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. Jerold Howard Kaminsky, D.C.NPI 1760569594
Title
President
Phone
(954) 234-5268

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 Primary

Addresses

Primary practice location

1280 S Powerline Rd
Suite 4
Pompano Beach, FL 33069-4339

Mailing address

2721 S Palm Aire Dr
Suite 4
Pompano Beach, FL 33069-4207
Phone (954) 935-3101

Other names 1

  • Parkway Plaza Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

1280 S Powerline Rd
Ste 4
Pompano Beach, FL 33069
Phone (954) 234-5268

Practitioners & affiliated clinicians

Practitioners 3

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1770798217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 S PALM AIRE DR",
            "address_2": "SUITE 4",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694207",
            "telephone_number": "954-935-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S POWERLINE RD",
            "address_2": "SUITE 4",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694339",
            "telephone_number": "954-234-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERDEB CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "KAMINSKY",
        "authorized_official_first_name": "JEROLD",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-234-5268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Plaza Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 28, 2007; 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.