Jacksonville Chiropractic & Acupuncture LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JACKSONVILLE CHIROPRACTIC & ACUPUNCTURE LLC

Doing business as

Total Health Clinic LLC

Practice address

13770 Beach Blvd Ste 4
Jacksonville, FL 32224-7227

Phone

(904) 619-2703

Fax

(904) 619-2837

NPI assigned

Dec 21, 2009

Last updated

May 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeremiah Wesley Carlson, D.C.NPI 1699787010

Title

Owner

Phone

(904) 382-6763

Specialties & licenses 2

Addresses

Other names 1

• Total Health Clinic LLC Doing business as

Locations

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.

• Jeremiah Wesley Carlson

  • Chiropractor
  • Jacksonville, FL
  • NPI 1699787010
  Authorized official Same address or phone

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1023347093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13770 BEACH BLVD STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247227",
            "telephone_number": "904-619-2703",
            "fax_number": "904-619-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 BEACH BLVD STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247227",
            "telephone_number": "904-619-2703",
            "fax_number": "904-619-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE CHIROPRACTIC & ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-382-6763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9264",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Health Clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.