Active NPI
LWC Lake Worth PLLC
- Rehabilitation Hospital Unit
- Greenacres, FL
National Provider Identifier
1871089789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- Legal business name
- LWC LAKE WORTH PLLC
- Practice address
- 5817 Lake Worth Rd
Greenacres, FL 33463-3209 - Phone
- (561) 642-9500
- NPI assigned
- Jul 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Moore
- Title
- Chiropractor
- Phone
- (954) 384-3275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | Primary |
Addresses
Primary practice location
5817 Lake Worth Rd
Greenacres, FL 33463-3209
Mailing address
4470 Weston Rd
Davie, FL 33331-3194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006433700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530576000000",
"number": "1871089789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4470 WESTON RD",
"city": "DAVIE",
"state": "FL",
"postal_code": "333313194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5817 LAKE WORTH RD",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633209",
"telephone_number": "561-642-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LWC LAKE WORTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-03",
"last_updated": "2018-07-03",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "954-384-3275",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006433700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.