Organization Active NPI

First Coast Chiropractic, Inc.

  • Chiropractor
  • Jacksonville Beach, FL
National Provider Identifier
1053437475
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8208 Issued in FL
Legal business name
FIRST COAST CHIROPRACTIC, INC.
Practice address
1482 3Rd St S
Jacksonville Beach, FL 32250-6310
Phone
(904) 246-3232
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Dr. Kenneth Zane Finger, DC
Title
President, Owner, Chiropractor
Phone
(904) 246-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8208 FL Primary

Addresses

Primary practice location

1482 3Rd St S
Jacksonville Beach, FL 32250-6310

Mailing address

1482 3Rd St S
Jacksonville Beach, FL 32250-6310
Phone (904) 246-3232

Other identifiers 1

IdentifierTypeStateIssuer
70273OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090723000685 FL Part B Supplier - Clinic/Group Practice 0749332617 Receives reassigned benefits from 2 practitioners
Practice locations: St Augustine, FL

National Provider Directory

National Provider Directory

Locations

1482 3rd St S
Jacksonville Beach, FL 32250
Phone (904) 246-3232

109 Nature Walk Pkwy
Unit 103
Saint Augustine, FL 32092
Phone (904) 342-4242

304 Kingsley Lake Dr
Ste 603
Saint Augustine, FL 32092
Phone (904) 342-4242

140 Gateway Cir
Unit 2
St Johns, FL 32259
Phone (904) 342-4242

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1053437475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 3RD ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506310",
            "telephone_number": "904-246-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 3RD ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506310",
            "telephone_number": "904-246-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "FINGER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ZANE",
        "authorized_official_title_or_position": "PRESIDENT, OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "904-246-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "70273",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.