NPIMap

Organization Active NPI

Align Your Spine Chiropractic Life

  • Chiropractor
  • Coconut Creek, FL
National Provider Identifier
1801996889
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8918 Issued in FL
Legal business name
ALIGN YOUR SPINE CHIROPRACTIC LIFE
Practice address
4800 W Hillsboro Blvd
Suite a-11
Coconut Creek, FL 33073-4330
Phone
(954) 481-2828
Fax
(954) 481-2830
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Jordan J Mastronardi, DC
Title
President
Phone
(954) 481-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8918 FL Primary

Addresses

Primary practice location

4800 W Hillsboro Blvd
Suite a-11
Coconut Creek, FL 33073-4330

Mailing address

4800 W Hillsboro Blvd
Suite a-11
Coconut Creek, FL 33073-4330
Phone (954) 481-2828

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1801996889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W HILLSBORO BLVD",
            "address_2": "SUITE A-11",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734330",
            "telephone_number": "954-481-2828",
            "fax_number": "954-481-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W HILLSBORO BLVD",
            "address_2": "SUITE A-11",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734330",
            "telephone_number": "954-481-2828",
            "fax_number": "954-481-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN YOUR SPINE CHIROPRACTIC LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "MASTRONARDI",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-481-2828",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.