Organization Active NPI

Premier Health Enterprises, Inc

Doing business as Premier Health Florida

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1043585888
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10080 Issued in FL
Legal business name
PREMIER HEALTH ENTERPRISES, INC
Doing business as
Premier Health Florida
Practice address
2820 Gibson Rd
Suite #a
Jacksonville, FL 32207-4804
Phone
(904) 503-2745
Fax
(904) 503-2746
NPI assigned
Mar 13, 2012
Last updated
Jul 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Dr. Christopher R Burnham, D.C., B.S.
Title
Chiropractic Services Director
Phone
(904) 503-2745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10080 FL Primary

Addresses

Primary practice location

2820 Gibson Rd
Suite #a
Jacksonville, FL 32207-4804

Mailing address

2820 Gibson Rd
Suite #a
Jacksonville, FL 32207-4804
Phone (904) 503-2745

Other names 1

  • Premier Health Florida Doing business as

National Provider Directory

National Provider Directory

Locations

2820 Gibson Rd
Ste A
Jacksonville, FL 32207
Phone (850) 496-0909

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1043585888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 GIBSON RD",
            "address_2": "SUITE #A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074804",
            "telephone_number": "904-503-2745",
            "fax_number": "904-503-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 GIBSON RD",
            "address_2": "SUITE #A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074804",
            "telephone_number": "904-503-2745",
            "fax_number": "904-503-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "BURNHAM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTIC SERVICES DIRECTOR",
        "authorized_official_telephone_number": "904-503-2745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., B.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Health Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.