NPIMap

Organization Active NPI

Blossom Family Chiropractic

  • Chiropractor
  • Saint Petersburg, FL
National Provider Identifier
1043663693
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 11817 Issued in FL
Legal business name
BLOSSOM FAMILY CHIROPRACTIC
Practice address
360 Central Ave
Ste 480
Saint Petersburg, FL 33701-3857
Phone
(727) 498-5643
NPI assigned
Jul 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Dr. Savannah Irby Ford, DCNPI 1649680927
Title
Owner/ Chiropractor
Phone
(813) 505-2671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 11817 FL Primary

Addresses

Primary practice location

360 Central Ave
Ste 480
Saint Petersburg, FL 33701-3857

Mailing address

360 Central Ave
Ste 480
Saint Petersburg, FL 33701-3857
Phone (727) 498-5643

National Provider Directory

National Provider Directory

Locations

360 Central Ave
Ste 480
St Petersburg, FL 33701
Phone (727) 498-5643

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1043663693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE",
            "address_2": "STE 480",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337013857",
            "telephone_number": "727-498-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE",
            "address_2": "STE 480",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337013857",
            "telephone_number": "727-498-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_middle_name": "IRBY",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "813-505-2671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.