Creighton Chiropractic Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CREIGHTON CHIROPRACTIC CENTER

Practice address

2110 Creighton Rd
Pensacola, FL 32504-7218

Phone

(850) 473-8080

Fax

(850) 473-8816

NPI assigned

Jan 16, 2008

Last updated

Sep 4, 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. Maria R Sangillo, D.O.NPI 1073544318

Title

Chiropractic Pyhsician

Phone

(850) 473-8080

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 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.

• Maria R. Sangillo, D.C., C.S.S.P.

  • Sports Physician Chiropractor
  • Pensacola, FL
  • NPI 1073544318
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1114103421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 CREIGHTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047218",
            "telephone_number": "850-473-8080",
            "fax_number": "850-473-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 CREIGHTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047218",
            "telephone_number": "850-473-8080",
            "fax_number": "850-473-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREIGHTON CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "SANGILLO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTIC PYHSICIAN",
        "authorized_official_telephone_number": "850-473-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "69967",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J Creahan Jr., RPH
• Jessica Creamer, DPT
• Mindy Kaye Credeur, PTA
• Creekside Psychiatric Center
• Creekside Psychiatric Center PA
• Cherry A. Creighton, AUD
• Elizabeth Anne Cremeans, MS, OTR/L
• Cherael Crenshaw, OTR
• Deja Crenshaw, LMT
• Shaneiqua Shantel Crenshaw, CNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.