Organization Active NPI

McNamara Chiropractic Center, P.a.

  • Chiropractor
  • Lighthouse Point, FL
National Provider Identifier
1912265307
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MCNAMARA CHIROPRACTIC CENTER, P.A.
Practice address
3320 N Federal Hwy
Lighthouse Point, FL 33064-6742
Phone
(954) 943-1100
Fax
(954) 943-9226
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. Carol McNamara Krauss, D.C.
Title
President
Phone
(954) 943-1100

Specialties & licenses 1

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

Addresses

Primary practice location

3320 N Federal Hwy
Lighthouse Point, FL 33064-6742

Mailing address

3320 N Federal Hwy
Lighthouse Point, FL 33064-6742
Phone (954) 943-1100

Other identifiers 2

IdentifierTypeStateIssuer
70863OtherFLBLUE CROSS AND BLUE SHIELD
380434800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120504000059 FL Part B Supplier - Clinic/Group Practice 7113189382 Receives reassigned benefits from 1 practitioner
Practice locations: Lighthouse Point, FL

National Provider Directory

National Provider Directory

Locations

3320 N Federal Hwy
Pompano Beach, FL 33064
Phone (954) 943-1100

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": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1912265307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N FEDERAL HWY",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646742",
            "telephone_number": "954-943-1100",
            "fax_number": "954-943-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N FEDERAL HWY",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646742",
            "telephone_number": "954-943-1100",
            "fax_number": "954-943-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNAMARA CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "KRAUSS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "MCNAMARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-943-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "70863",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380434800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.