Oceanside Injury Physicians

Key facts

NPI

1013596725

Entity type

Organization (NPI type 2)

Primary specialty

Chiropractor 111N00000X

Legal business name

OCEANSIDE INJURY PHYSICIANS

Practice address

99 Old Kings Rd S Ste 4
Flagler Beach, FL 32136-4356

Phone

(386) 866-1167

NPI assigned

Apr 8, 2021

Organization subpart

No

Authorized official

Name

Dr. Michael Sambursky, DC NPI 1336603083

Title

Owner

Phone

(386) 281-7900

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Sambursky, DC Chiropractor · Flagler Beach, FL · NPI 1336603083
  NPD Authorized official CHIROPRACTOR

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 8, 2021.

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1013596725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 OLD KINGS RD S STE 4",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321364356",
            "telephone_number": "386-866-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 OLD KINGS RD S STE 4",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321364356",
            "telephone_number": "386-866-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE INJURY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "SAMBURSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-281-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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