NPIMap

Organization Active NPI

Garrett Chiropractic LLC

  • Chiropractor
  • Port Orange, FL
National Provider Identifier
1023544640
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 11940 Issued in FL
Legal business name
GARRETT CHIROPRACTIC LLC
Practice address
1409 Royal Grove LN
Port Orange, FL 32129-8998
Phone
(386) 795-8700
NPI assigned
May 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Mrs. Bethany Garrett, D.C.
Title
Chiropractic Physician
Phone
(386) 795-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 11940 FL Primary

Addresses

Primary practice location

1409 Royal Grove LN
Port Orange, FL 32129-8998

Mailing address

1409 Royal Grove LN
Port Orange, FL 32129-8998

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1023544640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 ROYAL GROVE LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321298998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 ROYAL GROVE LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321298998",
            "telephone_number": "386-795-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "386-795-8700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.