Bold City Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10648 Issued in FL

Legal business name

BOLD CITY CHIROPRACTIC LLC

Practice address

8102 Blanding Blvd Ste 11
Jacksonville, FL 32244-5825

Phone

(904) 321-9629

NPI assigned

Feb 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Erin Zovath, D.C.NPI 1407196744

Title

Owner/Chiropractor

Phone

(904) 321-9629

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Erin Michelle Zovath, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1407196744
  Medicare reassignment Care Compare group NPD Authorized official
• Jordan Taylor Dufrane, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1295437317
  Medicare reassignment Care Compare group NPD
• April Swanstrom, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1831562586
  Medicare reassignment Care Compare group NPD
• Sydney Alexis Young, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1487452900
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1361664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373760000000",
    "number": "1134469471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 BLANDING BLVD STE 11",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 BLANDING BLVD STE 11",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445825",
            "telephone_number": "904-321-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD CITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-24",
        "last_updated": "2013-07-14",
        "status": "A",
        "authorized_official_last_name": "ZOVATH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "904-321-9629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rotimi Omotunde Bolatiwa, PHARM.D
• Bold Bite Orthodontics PLLC
• Bold Child Co.
• Bold City Behavioral Health
• Bold City Behavioral Services
• Bold City Doula Coalition
• Bold City Integrative Care
• Bold City Orthotics and Prosthetics, LLC (Bold City Orthotics and Prosthetics)
• Bold City Therapy and Wellness LLC
• Bold Healthcare PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2013; 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.