Active NPI
Saviene Paul Etienne, CHIROPRACTOR
- Chiropractor
- Lauderhill, FL
National Provider Identifier
1780893834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6086
- Practice address
- 4310 NW 12TH CT
Apt. #211
Lauderhill, FL 33313-5700 - Phone
- (754) 366-3322
- NPI assigned
- May 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6086 | FL | Primary |
Addresses
Primary practice location
4310 NW 12TH CT
Apt. #211
Lauderhill, FL 33313-5700
Mailing address
1505 NW 47TH Ave
Lauderhill, FL 33313-5549
Phone (954) 730-7105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6086 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780893834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 NW 47TH AVE",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333135549",
"telephone_number": "954-730-7105",
"fax_number": "954-730-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 NW 12TH CT",
"address_2": "APT. #211",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333135700",
"telephone_number": "754-366-3322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETIENNE",
"first_name": "SAVIENE",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "CHIROPRACTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "6086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.