Organization Active NPI

DMC Open MRI, P.a.

  • Radiology Chiropractor
  • Coconut Creek, FL
National Provider Identifier
1871616367
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
Legal business name
DMC OPEN MRI, P.A.
Practice address
6574 N State Road 7
152
Coconut Creek, FL 33073-3625
Phone
(954) 571-7707
NPI assigned
Apr 9, 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
Valentine Diaz, D.C.
Title
Owner
Phone
(954) 571-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0200X Primary

Addresses

Primary practice location

6574 N State Road 7
152
Coconut Creek, FL 33073-3625

Mailing address

4661 Johnson Rd
Suite 4
Coconut Creek, FL 33073-4363
Phone (954) 571-7707

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871616367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4661 JOHNSON RD",
            "address_2": "SUITE 4",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734363",
            "telephone_number": "954-571-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6574 N STATE ROAD 7",
            "address_2": "152",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733625",
            "telephone_number": "954-571-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMC OPEN MRI, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "VALENTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-571-7707",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Radiology",
            "state": null,
            "license": null,
            "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 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.