Port Orange Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PORT ORANGE CHIROPRACTIC INC

Practice address

3729 S Nova Rd
Port Orange, FL 32129-4233

Phone

(386) 761-0520

Fax

(386) 761-0553

NPI assigned

Mar 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Michelle Young, D.C.

Title

Owner/Doctor of Chiropractic

Phone

(386) 761-0520

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1073783536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3729 S NOVA RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294233",
            "telephone_number": "386-761-0520",
            "fax_number": "386-761-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 S NOVA RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294233",
            "telephone_number": "386-761-0520",
            "fax_number": "386-761-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT ORANGE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "386-761-0520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritish Pokhrel
• Richard Polhill, BC-HIS
• Concetta Tina A Pomroy, M.A.
• Port Orange Acupuncture LLC
• Port Orange Adult Day Care, LLC
• Port Orange Endoscopy & Surgery Center LLC (AdventHealth Surgery Center Port Orange)
• Port Orange Gynecology LLC
• Port Orange Internists PA
• Port Orange Modern Dentistry, PA (Port Orange Modern Dentistry)
• Port Orange Pediatrics P a

• Chiropractor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.