Organization Active NPI

C&C Chiropractic and Laser Center

  • Chiropractor
  • Miami, FL
National Provider Identifier
1861697708
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7185 Issued in FL
Legal business name
C&C CHIROPRACTIC AND LASER CENTER
Practice address
2250 SW 3Rd Ave Ste 205
Miami, FL 33129-2064
Phone
(786) 517-6551
Fax
(786) 517-6552
NPI assigned
Jun 20, 2007
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. Etna M. Castellanos, D.C.NPI 1194778647
Title
Chiropractor
Phone
(786) 517-6551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7185 FL Primary

Addresses

Primary practice location

2250 SW 3Rd Ave Ste 205
Miami, FL 33129-2064

Mailing address

2250 SW 3Rd Ave Ste 205
Miami, FL 33129-2064
Phone (786) 517-6551

Other identifiers 1

IdentifierTypeStateIssuer
1194778647OtherFLNPI # PERSONAL

National Provider Directory

National Provider Directory

Locations

2250 SW 3rd Ave
Ste 205
Miami, FL 33129
Phone (305) 285-7646

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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861697708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 SW 3RD AVE STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292064",
            "telephone_number": "786-517-6551",
            "fax_number": "786-517-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 SW 3RD AVE STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292064",
            "telephone_number": "786-517-6551",
            "fax_number": "786-517-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&C CHIROPRACTIC AND LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "ETNA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "786-517-6551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # PERSONAL",
            "identifier": "1194778647",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, 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.