Organization Active NPI

Coral Springs Spine & Nerve, Inc

  • Chiropractor
  • Coral Springs, FL
National Provider Identifier
1942599683
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO08142 Issued in GA
Legal business name
CORAL SPRINGS SPINE & NERVE, INC
Practice address
9720 W Sample Rd
Coral Springs, FL 33065-4004
Phone
(954) 752-7373
Fax
(954) 752-7351
NPI assigned
Apr 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Dr. Aliyah Tamar Stotter, D.C.
Title
Co Owner
Phone
(954) 752-7373

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CHIRO08142 GA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CHIRO08697 GA

Addresses

Primary practice location

9720 W Sample Rd
Coral Springs, FL 33065-4004

Mailing address

9720 W Sample Rd
Coral Springs, FL 33065-4004
Phone (954) 752-7373

National Provider Directory

National Provider Directory

Locations

9858 Clint Moore Rd
Ste C111274
Boca Raton, FL 33496
Phone (561) 482-1144

9720 W Sample Rd
Coral Springs, FL 33065
Phone (954) 736-3110

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1942599683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654004",
            "telephone_number": "954-752-7373",
            "fax_number": "954-752-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654004",
            "telephone_number": "954-752-7373",
            "fax_number": "954-752-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL SPRINGS SPINE & NERVE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "STOTTER",
        "authorized_official_first_name": "ALIYAH",
        "authorized_official_middle_name": "TAMAR",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "954-752-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO08142",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO08697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.