Active NPI
Tatiana Agafonova, D.C.
- Chiropractor
- Aventura, FL
National Provider Identifier
1871626952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8968
- Practice address
- 20700 W Dixie Hwy
Aventura, FL 33180-1146 - Phone
- (305) 933-5887
- Fax
- (305) 933-8991
- NPI assigned
- Mar 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8968 | FL | Primary |
Addresses
Primary practice location
20700 W Dixie Hwy
Aventura, FL 33180-1146
Mailing address
20700 W Dixie Hwy
Aventura, FL 33180-1146
Phone (305) 933-5887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH8968 | Other | FL | CHIROPRACTOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH8968 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871626952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20700 W DIXIE HWY",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801146",
"telephone_number": "305-933-5887",
"fax_number": "305-933-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20700 W DIXIE HWY",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801146",
"telephone_number": "305-933-5887",
"fax_number": "305-933-8991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGAFONOVA",
"first_name": "TATIANA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8968",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTOR",
"identifier": "CH8968",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aventura, FL
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- Advanced Neuroscience & Pain Institute, L.L.C.
- Advanced Plastic and Reconstructive Surgery
- Affordable Community Housing Trust -Alpha, Inc. (Imperial Club)
- Alexander M Aguiar
- Anesa W Ahamad, M.D.
- Ahava Home Nursing Registry, Inc
- Ramesh Ahmadi, M.D.
- Aja Health Corp (Miami Primary)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.