Organization Active NPI

Spartan Chiropractic Performance

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1114771714
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPARTAN CHIROPRACTIC PERFORMANCE
Practice address
100 S Edison Ave
Suite D
Tampa, FL 33606
Phone
(702) 751-0302
NPI assigned
Apr 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Robert CalhounNPI 1932733805
Title
Owner
Phone
(702) 751-0302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

100 S Edison Ave
Suite D
Tampa, FL 33606

Mailing address

100 S Edison Ave
Suite D
Tampa, FL 33606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260121000852 FL Part B Supplier - Clinic/Group Practice 9537646674 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

100 S Edison Ave
Tampa, FL 33606

100 S Edison Ave
Ste D
Tampa, FL 33606
Phone (702) 751-0302

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1114771714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S EDISON AVE",
            "address_2": "SUITE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S EDISON AVE",
            "address_2": "SUITE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33606",
            "telephone_number": "702-751-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTAN CHIROPRACTIC PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-751-0302"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.