Organization Active NPI

Spinal Decompression Center of the Palm Beaches, LLP

  • Chiropractor
  • Palm Beach Gardens, FL
National Provider Identifier
1831391788
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0003905 Issued in FL
Legal business name
SPINAL DECOMPRESSION CENTER OF THE PALM BEACHES, LLP
Practice address
12300 Highway A1A Alt
Suite 110
Palm Beach Gardens, FL 33410-2205
Phone
(561) 630-3033
NPI assigned
Jun 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ted Perkins
Title
Manager
Phone
(772) 234-3833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0003905 FL Primary

Addresses

Primary practice location

12300 Highway A1A Alt
Suite 110
Palm Beach Gardens, FL 33410-2205

Mailing address

780 US Highway 1
Suite 200
Vero Beach, FL 32962-1660
Phone (772) 234-3833

National Provider Directory

National Provider Directory

Locations

12300 Alt A1A
Ste 110
Palm Beach Gardens, FL 33410
Phone (561) 630-3033

Practitioners & affiliated clinicians

Practitioners 2

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831391788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 US HIGHWAY 1",
            "address_2": "SUITE 200",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329621660",
            "telephone_number": "772-234-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 HIGHWAY A1A ALT",
            "address_2": "SUITE 110",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102205",
            "telephone_number": "561-630-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL DECOMPRESSION CENTER OF THE PALM BEACHES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-234-3833",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0003905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.