Organization Active NPI

Roy a Horn DC PA

  • Chiropractor
  • Crystal River, FL
National Provider Identifier
1104989607
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROY A HORN DC PA
Practice address
9030 W Fort Island Trail
Suite 10a
Crystal River, FL 34429
Phone
(352) 563-2597
Fax
(352) 563-2836
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roy A Horn, DC
Title
President
Phone
(352) 563-2597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

9030 W Fort Island Trail
Suite 10a
Crystal River, FL 34429

Mailing address

9030 W Fort Island Trail
Suite 10a
Crystal River, FL 34429
Phone (352) 563-2597

Other identifiers 1

IdentifierTypeStateIssuer
53997OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

9030 W Fort Island Trl
Ste 10A
Crystal River, FL 34429
Phone (352) 563-2597

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104989607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 W FORT ISLAND TRAIL",
            "address_2": "SUITE 10A",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34429",
            "telephone_number": "352-563-2597",
            "fax_number": "352-563-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 W FORT ISLAND TRAIL",
            "address_2": "SUITE 10A",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34429",
            "telephone_number": "352-563-2597",
            "fax_number": "352-563-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY A HORN DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-563-2597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "53997",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.