Active NPI
Ronald Lindsey Underhill III, D.C.
- Chiropractor
- New Smyrna Beach, FL
National Provider Identifier
1043589302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10415
- Practice address
- 401 Canal St
New Smyrna Beach, FL 32168-7009 - Phone
- (334) 655-8455
- NPI assigned
- Dec 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 10415 | FL | Primary |
Addresses
Primary practice location
401 Canal St
New Smyrna Beach, FL 32168-7009
Mailing address
314 Citrus Open Dr
New Smyrna Beach, FL 32168-6194
Phone (386) 690-0816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 10415 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1043589302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 CITRUS OPEN DR",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321686194",
"telephone_number": "386-690-0816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CANAL ST",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321687009",
"telephone_number": "334-655-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERHILL",
"first_name": "RONALD",
"middle_name": "LINDSEY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-15",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.