Waterside Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WATERSIDE CHIROPRACTIC INC.

Practice address

2441 US Highway 98 W
Suite 103
Santa Rosa Beach, FL 32459-5385

Phone

(850) 622-0062

Fax

(850) 622-0007

NPI assigned

Feb 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael J. Smith, D.C.NPI 1720127806

Title

President

Phone

(850) 622-0062

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Smith, D.C.

  • Chiropractor
  • Panama City, FL
  • NPI 1720127806
  Medicare reassignment Authorized official
• Mohamed Eltahir Abdelrahman, DC

  • Chiropractor
  • Panama City Beach, FL
  • NPI 1780462895
  Medicare reassignment NPD
• Gwendolyn Unique Collins, DC

  • Chiropractor
  • Pensacola, FL
  • NPI 1770087512
  Medicare reassignment NPD
• Erin Melissa Long, DC

  • Chiropractor
  • Fort Pierce, FL
  • NPI 1144829391
  Medicare reassignment NPD
• Angelica Elizabeth Terrell, DC

  • Chiropractor
  • Panama City Beach, FL
  • NPI 1730937160
  Medicare reassignment NPD
• Morgan Greene, DC

  • Chiropractor
  • Canton, GA
  • NPI 1730756354

  FL

  Medicare reassignment NPD
• Robert Levi Looper Sr., DC

  • Chiropractor
  • Panama City Beach, FL
  • NPI 1194672600
  Medicare reassignment
• Lloyd Cole Heisler, D.C.

  • Chiropractor
  • Crestview, FL
  • NPI 1316164973
  NPD (past)
• Justin Turner, D.C.

  • Chiropractor
  • Niceville, FL
  • NPI 1093106080
  NPD (past)

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1114166238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 US HIGHWAY 98 W",
            "address_2": "SUITE 103",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595385",
            "telephone_number": "850-622-0062",
            "fax_number": "850-622-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 US HIGHWAY 98 W",
            "address_2": "SUITE 103",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595385",
            "telephone_number": "850-622-0062",
            "fax_number": "850-622-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERSIDE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-622-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Lindsay Walleck, LPC, LMHC
• Phillip Walleck, PHD
• Jessica Lindsey Ward, OTA
• Leighann Ward
• Jennifer Weaver
• Lacy Renae Weeks
• Frederick John Wehle Jr., MD
• Mark A. Wehry, MD
• Steven Weiner, M.D.

• Chiropractor in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.