NPIMap

Organization Active NPI

Britt's Chiropractic and Wellness Center, Inc

  • Health Maintenance Organization
  • Tampa, FL
National Provider Identifier
1003352915
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
CH10085 Issued in FL
Legal business name
BRITT'S CHIROPRACTIC AND WELLNESS CENTER, INC
Practice address
1419 W Waters Ave
Ste 114
Tampa, FL 33604-2895
Phone
(813) 549-0339
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Brittin Beaulieu
Title
President
Phone
(727) 272-0501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X CH10085 FL Primary

Addresses

Primary practice location

1419 W Waters Ave
Ste 114
Tampa, FL 33604-2895

Mailing address

1419 W Waters Ave
Ste 114
Tampa, FL 33604-2895
Phone (813) 549-0339

Other identifiers 1

IdentifierTypeStateIssuer
200843480MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Britt's Chiropractic and Wellness Center Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1003352915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 W WATERS AVE",
            "address_2": "STE 114",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042895",
            "telephone_number": "813-549-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 W WATERS AVE",
            "address_2": "STE 114",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042895",
            "telephone_number": "813-549-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITT'S CHIROPRACTIC AND WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "BEAULIEU",
        "authorized_official_first_name": "BRITTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-272-0501"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "CH10085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200843480",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.