Coachman Chiropractic Injury and Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9725 Issued in FL

Legal business name

COACHMAN CHIROPRACTIC INJURY AND WELLNESS

Practice address

2424 Sunset Point Rd
Clearwater, FL 33765-1513

Phone

(727) 799-4608

Fax

(727) 799-9102

NPI assigned

Nov 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lewis Gold, DCNPI 1811124712

Title

President

Phone

(727) 940-3729

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Robert Lewis Gold, D.C.

  • Chiropractor
  • Ocala, FL
  • NPI 1811124712
  NPD (past) Authorized official

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1053655787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 US HIGHWAY 19",
            "address_2": "101",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346913903",
            "telephone_number": "727-940-3729",
            "fax_number": "727-940-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 SUNSET POINT RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651513",
            "telephone_number": "727-799-4608",
            "fax_number": "727-799-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHMAN CHIROPRACTIC INJURY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-940-3729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Chiropractor in Florida

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