NPIMap

Organization Active NPI

Specific Chiropractic, P.a

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1881066165
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11467 Issued in FL
Legal business name
SPECIFIC CHIROPRACTIC, P.A
Practice address
1 W Camino Real Ste 111
Boca Raton, FL 33432-5966
Phone
(561) 706-3046
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Dr. Evan Jeremy Hasson, D.C.
Title
Chiropractor/ Owner
Phone
(561) 706-3046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11467 FL Primary

Addresses

Primary practice location

1 W Camino Real Ste 111
Boca Raton, FL 33432-5966

Mailing address

1 W Camino Real
Suite 111
Boca Raton, FL 33432-5966
Phone (561) 706-3046

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1881066165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W CAMINO REAL",
            "address_2": "SUITE 111",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325966",
            "telephone_number": "561-706-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W CAMINO REAL STE 111",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325966",
            "telephone_number": "561-706-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIFIC CHIROPRACTIC, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "HASSON",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "CHIROPRACTOR/ OWNER",
        "authorized_official_telephone_number": "561-706-3046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.