NPIMap

Organization Active NPI

Pace Chiropractic Clinic, Inc.

  • Neurology Chiropractor
  • Pace, FL
National Provider Identifier
1104028885
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH0005938 Issued in FL
Legal business name
PACE CHIROPRACTIC CLINIC, INC.
Practice address
4497 Highway 90
Pace, FL 32571-2001
Phone
(850) 994-4058
Fax
(850) 994-4075
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Scott H. Arnold, D.C.
Title
Ceo
Phone
(850) 994-4058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X CH0005938 FL Primary

Addresses

Primary practice location

4497 Highway 90
Pace, FL 32571-2001

Mailing address

4497 Highway 90
Pace, FL 32571-2001
Phone (850) 994-4058

National Provider Directory

National Provider Directory

Locations

4497 Highway 90
Pace, FL 32571
Phone (850) 994-4058

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1104028885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4497 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712001",
            "telephone_number": "850-994-4058",
            "fax_number": "850-994-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4497 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712001",
            "telephone_number": "850-994-4058",
            "fax_number": "850-994-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-994-4058",
        "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": "CH0005938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.