Organization Active NPI

Doctors' Comprehensive Spine Center, Inc

  • Rehabilitation Chiropractor
  • Tampa, FL
National Provider Identifier
1023162906
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH 5142 Issued in FL
Legal business name
DOCTORS' COMPREHENSIVE SPINE CENTER, INC
Practice address
1931 W Dr Martin Luther King Jr Blvd
Suite a
Tampa, FL 33607-6529
Phone
(813) 873-9229
Fax
(813) 873-9228
NPI assigned
Jan 22, 2007
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Mrs. Kim Rusnak
Title
Administrator
Phone
(813) 873-9229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X CH 5142 FL Primary

Addresses

Primary practice location

1931 W Dr Martin Luther King Jr Blvd
Suite a
Tampa, FL 33607-6529

Mailing address

1931 W Dr Martin Luther King Jr Blvd
Suite a
Tampa, FL 33607-6529
Phone (813) 873-9229

Other identifiers 1

IdentifierTypeStateIssuer
09529OtherFLBLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1023162906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076529",
            "telephone_number": "813-873-9229",
            "fax_number": "813-873-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076529",
            "telephone_number": "813-873-9229",
            "fax_number": "813-873-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS' COMPREHENSIVE SPINE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "RUSNAK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-873-9229",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH 5142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "09529",
            "state": "FL"
        }
    ],
    "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 18, 2008; 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.