Organization Active NPI

Flinn Chiropractic L L C

  • Chiropractor
  • Merritt Island, FL
National Provider Identifier
1013129402
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9172 Issued in FL
Legal business name
FLINN CHIROPRACTIC L L C
Practice address
950 N Courtenay Pkwy
Suite 1
Merritt Island, FL 32953-4501
Phone
(321) 453-2545
NPI assigned
May 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Dr. Joshua Clay Flinn, DCNPI 1235358730
Title
Chiropractor Owner
Phone
(321) 453-2545

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9172 FL Primary

Addresses

Primary practice location

950 N Courtenay Pkwy
Suite 1
Merritt Island, FL 32953-4501

Mailing address

PO Box 541925
Merritt Island, FL 32954-1925

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080927000023 FL Part B Supplier - Clinic/Group Practice 9335216746 Receives reassigned benefits from 6 practitioners
Practice locations: Merritt Island, FL

National Provider Directory

National Provider Directory

Locations

950 N Courtenay Pkwy
Ste 1
Merritt Island, FL 32953
Phone (321) 453-2545

230 Fortenberry Rd
Merritt Island, FL 32952
Phone (321) 453-2545

Practitioners & affiliated clinicians

Practitioners 7

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": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1013129402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541925",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329541925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N COURTENAY PKWY",
            "address_2": "SUITE 1",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534501",
            "telephone_number": "321-453-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINN CHIROPRACTIC L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "FLINN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "321-453-2545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.