Active NPI
Kingdom Chiropractic
- Chiropractor
- Tampa, FL
National Provider Identifier
1073913372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11209
- Legal business name
- KINGDOM CHIROPRACTIC
- Practice address
- 1706 W M.L.K. Jr Blvd
Tampa, FL 33607 - Phone
- (813) 434-1045
- Fax
- (813) 434-1259
- NPI assigned
- Aug 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fredrick Thomas Williams Jr., D.C.
- Title
- Ceo
- Phone
- (727) 497-7463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH11209 | FL | Primary |
Addresses
Primary practice location
1706 W M.L.K. Jr Blvd
Tampa, FL 33607
Mailing address
1706 W M.L.K. Jr Blvd
Tampa, FL 33607
Other practice location 1
5912 Watson Rd
Riverview, FL 33578-3734
Phone (813) 434-1045
Other practice location 2
1089 Ponce De Leon Blvd
Brooksville, FL 34601-1241
Phone (813) 434-1045
Other practice location 3
1484 Gulf To Bay Blvd
Clearwater, FL 33755-5358
Phone (813) 434-1045
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536192000000",
"number": "1073913372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 W M.L.K. JR BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 W M.L.K. JR BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-434-1045",
"fax_number": "813-434-1259"
}
],
"practiceLocations": [
{
"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": "1089 Ponce De Leon Blvd",
"address_purpose": "LOCATION",
"city": "Brooksville",
"state": "FL",
"postal_code": "346011241",
"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": "2014-08-25",
"last_updated": "2018-09-06",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "FREDRICK",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "727-497-7463",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.