LAKE WORTH CHIROPRACTIC CENTER INC
NPI 1508058082
Clinic/Center - Medical Specialty in Lake Worth, FL

NPI Status: Active since August 17, 2007

Contact Information

5804 JOG ROAD
LAKE WORTH, FL
ZIP 33467
Phone: (561) 967-7440
Fax: (561) 967-9987

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • CLIA Number: 10D1053774
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 12-07-2026

About LAKE WORTH CHIROPRACTIC CENTER INC

This page provides the complete NPI Profile along with additional information for Lake Worth Chiropractic Center Inc, a provider established in Lake Worth, Florida operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1508058082 assigned on August 2007. The practitioner's primary taxonomy code is 261QM2500X with license number CH 0003037 (FL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Richard S Maltzman Dc (President)

NPI
1508058082
Provider Name
LAKE WORTH CHIROPRACTIC CENTER INC
Entity Type
Organization
Location Address
5804 JOG ROAD LAKE WORTH, FL 33467
Location Phone
(561) 967-7440
Location Fax
(561) 967-9987
Mailing Address
5817 LAKE WORTH RD GREENACRES, FL 33463
Mailing Phone
(561) 967-0140
Mailing Fax
(561) 967-9987
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2007
Last Update Date
06-14-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
CH 0003037
License State
FL
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RICHARD S MALTZMAN DC

Authorized Official Title
PRESIDENT
Authorized Official Phone
(561) 967-7440

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
T55785OTHER (01)FLUPIN

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D1053774
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
December 08, 2024
Certificate Expiration Date
December 07, 2026
Laboratory Director
JEFFREY KATZELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lake Worth Chiropractic Center Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508058082
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25080516016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 0 + 5 + 1 + 6 + 0 + 1 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1508058082 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508058082, enumerated as an "organization" on August 17, 2007.

The provider is located at 5804 JOG ROAD LAKE WORTH, FL 33467 and the phone number is (561) 967-7440.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.