Organization Active NPI

Atlantis Chiropractic Inc

  • Neurology Chiropractor
  • Indian Harbour Beach, FL
National Provider Identifier
1083799241
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH7177 Issued in FL
Legal business name
ATLANTIS CHIROPRACTIC INC
Practice address
2194 Highway A1A Ste 308
Indian Harbour Beach, FL 32937-4932
Phone
(321) 777-1420
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Dr. David Sanders, D.C.
Title
Pres Atlantis Chiropractic, Inc.
Phone
(321) 777-1420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X CH7177 FL Primary

Addresses

Primary practice location

2194 Highway A1A Ste 308
Indian Harbour Beach, FL 32937-4932

Mailing address

2194 Highway A1A Ste 308
Indian Harbour Beach, FL 32937-4932

Other identifiers 1

IdentifierTypeStateIssuer
55574OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

2194 Highway A1A
Ste 308
Indian Harbour Beach, FL 32937
Phone (321) 777-1420

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1083799241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 HIGHWAY A1A STE 308",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2194 HIGHWAY A1A STE 308",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374932",
            "telephone_number": "321-777-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRES  ATLANTIS CHIROPRACTIC, INC.",
        "authorized_official_telephone_number": "321-777-1420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH7177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55574",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.