Organization Active NPI

Westgate Chiropractic PA

  • Chiropractor
  • Sunrise, FL
National Provider Identifier
1790062115
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0005597 Issued in FL
Legal business name
WESTGATE CHIROPRACTIC PA
Practice address
15830 W State Road 84
Sunrise, FL 33326-1212
Phone
(954) 389-5507
Fax
(954) 389-5508
NPI assigned
Nov 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Dr. Brian Fergang, D.C.NPI 1538224670
Title
Owner
Phone
(954) 389-5507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0005597 FL Primary

Addresses

Primary practice location

15830 W State Road 84
Sunrise, FL 33326-1212

Mailing address

15830 W State Road 84
Sunrise, FL 33326-1212
Phone (954) 389-5507

National Provider Directory

National Provider Directory

Locations

15830 W State Road 84
Sunrise, FL 33326
Phone (954) 389-5507

Practitioners & affiliated clinicians

Practitioners 4

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": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1790062115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15830 W STATE ROAD 84",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261212",
            "telephone_number": "954-389-5507",
            "fax_number": "954-389-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 W STATE ROAD 84",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261212",
            "telephone_number": "954-389-5507",
            "fax_number": "954-389-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTGATE CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "FERGANG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-389-5507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.