Kingdom Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11209 Issued in FL

Legal business name

KINGDOM CHIROPRACTIC

Practice address

1706 W. Martin Luther King Blvd
Tampa, FL 33607

Phone

(813) 434-1045

NPI assigned

May 27, 2016

Organization subpart

No

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

Authorized official

Name

Fredrick Williams

Title

Chiropractor

Phone

(727) 497-7463

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1063860286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 WATSON RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 W. MARTIN LUTHER KING BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-434-1045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1089 Ponce De Leon Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346011241",
            "country_code": "US",
            "telephone_number": "813-434-1045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5912 Watson Rd",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335783734",
            "country_code": "US",
            "telephone_number": "813-434-1045",
            "fax_number": "813-434-1259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1484 Gulf To Bay Blvd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337555358",
            "country_code": "US",
            "telephone_number": "813-434-1045",
            "fax_number": "813-434-1259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGDOM CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "727-497-7463"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Elaine King
• Taylor King, PA-C
• Thomas Christopher King, MD
• Tiffany Lynn King
• Yvonne D. King, ARNP
• Kingdom Chiropractic
• Kingdom Medical Group
• Kingdom Medical LLC
• Melissa Kingery
• Jessy Kingman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.