Active NPI
Dickenson Jeanpierre, D.C
- Chiropractor
- Hollywood, FL
National Provider Identifier
1780914952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9867
- Practice address
- 4330 Sheridan St Ste 201B
Hollywood, FL 33021-1406 - Phone
- (954) 589-0010
- Fax
- (954) 589-0698
- NPI assigned
- Jan 11, 2010
- 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 | 9867 | FL | Primary |
Addresses
Primary practice location
4330 Sheridan St Ste 201B
Hollywood, FL 33021-1406
Mailing address
361 NE 180TH Dr
North Miami Beach, FL 33162-1768
Phone (305) 450-7015
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9867 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321056000000",
"number": "1780914952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 NE 180TH DR",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331621768",
"telephone_number": "305-450-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 SHERIDAN ST STE 201B",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330211406",
"telephone_number": "954-589-0010",
"fax_number": "954-589-0698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEANPIERRE",
"first_name": "DICKENSON",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-11",
"last_updated": "2011-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "9867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.