Prado Chiropractic and Acupuncture

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PRADO CHIROPRACTIC AND ACUPUNCTURE

Doing business as

Talton Chiropractic
Twin Waves Chiropractic & Wellness

Practice address

422 Osceola Ave
Jacksonville Beach, FL 32250-4077

Phone

(904) 246-9955

Fax

(904) 246-9956

NPI assigned

Nov 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Nathaniel L Puyau, DCNPI 1316184179

Title

Clinic Director

Phone

(904) 246-9955

Specialties & licenses 1

Addresses

Other names 2

• Talton Chiropractic Doing business as
• Twin Waves Chiropractic & Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Nathaniel Luke Puyau, D.C.

  • Chiropractor
  • Jacksonville Beach, FL
  • NPI 1316184179
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1063982320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 OSCEOLA AVE",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504077",
            "telephone_number": "904-246-9955",
            "fax_number": "904-246-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 OSCEOLA AVE",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504077",
            "telephone_number": "904-246-9955",
            "fax_number": "904-246-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRADO CHIROPRACTIC AND ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "PUYAU",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "904-246-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Talton Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Twin Waves Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adriana Posada, DOM, AP
• Aida Y Powe, RN
• Preferred Nutrition Services, LLC
• Proactive Anesthesia Management LLC
• Jessica Proctor, PHARMD
• Prokosch Chiropractic Inc
• Publix Super Markets Inc

• Chiropractor in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.