Regatta Chiropractic and Laser Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 8365 Issued in FL

Legal business name

REGATTA CHIROPRACTIC AND LASER CENTER INC

Practice address

4481 Legendary Dr
Suite 150
Destin, FL 32541-5381

Phone

(850) 424-7856

NPI assigned

Aug 15, 2012

Last updated

Nov 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shawna HoganNPI 1497781280

Title

Chiropractor

Phone

(850) 748-6102

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawna Hogan, D.C.

  • Chiropractor
  • Destin, FL
  • NPI 1497781280
  Authorized official Same address or phone

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1083962526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5953 COMMERCE RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325832320",
            "telephone_number": "850-424-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4481 LEGENDARY DR",
            "address_2": "SUITE 150",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415381",
            "telephone_number": "850-424-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGATTA CHIROPRACTIC AND LASER CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "850-748-6102",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2631473",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John E Quinn, M.S., P.T.
• Michael E Raim, O.D.
• Erica Ratanothayanon, PHARMD
• Caitlyn Ream
• Ann M Rector, LMT
• Regatta Chiropractic Laser and Wellness Center Inc
• Ciara Nicole Reistad, MS, RDN, LDN
• Rementis Health Group LLC
• Richard Charles Reno, M.D.
• Restoration Transformation

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.