Chiro & Laser Pain Relief Center of St Augustine LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIRO & LASER PAIN RELIEF CENTER OF ST AUGUSTINE LLC

Practice address

1092 S Ponce de Leon Blvd Ste K
St Augustine, FL 32084-6018

Phone

(904) 460-2923

NPI assigned

Sep 21, 2018

Organization subpart

No

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

Authorized official

Name

Gary Trupo, DC

Title

Doctor

Phone

(904) 460-2923

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jason Anthony Palmer, D.C.

  • Chiropractor
  • Redlands, CA
  • NPI 1740418771
  NPD (past)

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1114401544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 S PONCE DE LEON BLVD STE K",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320846018",
            "telephone_number": "904-460-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 S PONCE DE LEON BLVD STE K",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320846018",
            "telephone_number": "904-460-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO & LASER PAIN RELIEF CENTER OF ST AUGUSTINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "TRUPO",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "904-460-2923",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leh-Ha Lucia Chew, DDS
• Children'S Home Society of Florida
• Children'S Home Society of Florida
• Catherine Penn Childress, DPT
• Chinasa LLC
• Chiro & Laser St. Augustine, PLLC
• Christy M Chong, ARNP
• Kok L. Chong, MD
• Kye Im Chong, MD
• Rezwana Chowdhury

• Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.