Organization Active NPI

Chiro-Medical Pain Relief Center, Inc.

  • Chiropractor
  • Ft Lauderdale, FL
National Provider Identifier
1780915322
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5659 Issued in FL
Legal business name
CHIRO-MEDICAL PAIN RELIEF CENTER, INC.
Practice address
1395 W Sunrise Blvd
Suite 1
Ft Lauderdale, FL 33311-7076
Phone
(561) 367-1333
Fax
(561) 367-1320
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Dr. Sal James Pellegrino, D.C.
Title
Owner/Doctor
Phone
(561) 367-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH5659 FL Primary

Addresses

Primary practice location

1395 W Sunrise Blvd
Suite 1
Ft Lauderdale, FL 33311-7076

Mailing address

731 NE 32ND St
Boca Raton, FL 33431-6918
Phone (561) 367-1333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1780915322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 NE 32ND ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316918",
            "telephone_number": "561-367-1333",
            "fax_number": "561-367-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 W SUNRISE BLVD",
            "address_2": "SUITE 1",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117076",
            "telephone_number": "561-367-1333",
            "fax_number": "561-367-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO-MEDICAL PAIN RELIEF CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "SAL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "561-367-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.