NPIMap

Organization Active NPI

Pga Chiropractic Health Center PA

  • Chiropractor
  • Palm Beach Gardens, FL
National Provider Identifier
1962799213
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11037 Issued in FL
Legal business name
PGA CHIROPRACTIC HEALTH CENTER PA
Practice address
10800 N Military TRL
Ste # 111
Palm Beach Gardens, FL 33410-6500
Phone
(561) 775-9111
Fax
(561) 775-9131
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. James Paul Cima, DCNPI 1215366885
Title
Authorized Official
Phone
(561) 775-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH11037 FL Primary
Sports Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0010X FL

Addresses

Primary practice location

10800 N Military TRL
Ste # 111
Palm Beach Gardens, FL 33410-6500

Mailing address

10800 N Military TRL
Ste # 111
Palm Beach Gardens, FL 33410-6500
Phone (561) 775-9111

Other identifiers 1

IdentifierTypeStateIssuer
FE088AOtherFLMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110726000941 FL Part B Supplier - Clinic/Group Practice 2466620067 Receives reassigned benefits from 7 practitioners
Practice locations: Palm Beach Gardens, FL

National Provider Directory

National Provider Directory
Tax ID family
Pga Chiropractic Health Center PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

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": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1962799213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 N MILITARY TRL",
            "address_2": "STE # 111",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106500",
            "telephone_number": "561-775-9111",
            "fax_number": "561-775-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 N MILITARY TRL",
            "address_2": "STE # 111",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106500",
            "telephone_number": "561-775-9111",
            "fax_number": "561-775-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGA CHIROPRACTIC HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CIMA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-775-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11037",
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "FE088A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.