Organization Active NPI

Fialkov Chiropractic PA

  • Chiropractor
  • Ormond Beach, FL
National Provider Identifier
1124341995
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9759 Issued in FL
Legal business name
FIALKOV CHIROPRACTIC PA
Practice address
279 S Yonge St
Ormond Beach, FL 32174-6257
Phone
(386) 334-3362
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Ross A Fialkov, DC
Title
President/Owner
Phone
(386) 334-3362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9759 FL Primary

Addresses

Primary practice location

279 S Yonge St
Ormond Beach, FL 32174-6257

Mailing address

279 S Yonge St
Ormond Beach, FL 32174-6257
Phone (386) 334-3362

Other identifiers 1

IdentifierTypeStateIssuer
CH9759OtherFLSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

279 S Yonge St
Ormond Beach, FL 32174
Phone (386) 673-2133

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1124341995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 S YONGE ST",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746257",
            "telephone_number": "386-334-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 S YONGE ST",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746257",
            "telephone_number": "386-334-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIALKOV CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "FIALKOV",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "386-334-3362",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CH9759",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.