Active NPI
Amplified Chiropractic and Wellnes
- Chiropractor
- Venice, FL
National Provider Identifier
1013733146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- AMPLIFIED CHIROPRACTIC AND WELLNES
- Practice address
- 1201 Jacaranda Blvd Ste 1203
Venice, FL 34292-4535 - Phone
- (941) 201-0206
- NPI assigned
- Nov 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan Sanderson, DC
- Title
- Owner/Chiropractor
- Phone
- (941) 201-0206
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1201 Jacaranda Blvd Ste 1203
Venice, FL 34292-4535
Mailing address
1201 Jacaranda Blvd Ste 1203
Venice, FL 34292-4535
Phone (941) 201-0206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1203 Jacaranda Blvd
Venice, FL 34292
Phone (941) 201-0206
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Sarasota, FL
- NPI 1184079881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732233600000",
"number": "1013733146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 JACARANDA BLVD STE 1203",
"city": "VENICE",
"state": "FL",
"postal_code": "342924535",
"telephone_number": "941-201-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 JACARANDA BLVD STE 1203",
"city": "VENICE",
"state": "FL",
"postal_code": "342924535",
"telephone_number": "941-201-0206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMPLIFIED CHIROPRACTIC AND WELLNES",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-22",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A",
"authorized_official_last_name": "SANDERSON",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "941-201-0206",
"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": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.