NPIMap

Organization Active NPI

Peachland Chiropractic Health LLC

  • Chiropractor
  • Port Charlotte, FL
National Provider Identifier
1144386897
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4746 Issued in FL
Legal business name
PEACHLAND CHIROPRACTIC HEALTH LLC
Practice address
24150 Tiseo Blvd
Unit #4
Port Charlotte, FL 33980-5230
Phone
(941) 255-0424
Fax
(941) 255-0428
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Dr. Douglas Roger Harms, D.C
Title
President
Phone
(941) 255-0424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH4746 FL Primary

Addresses

Primary practice location

24150 Tiseo Blvd
Unit #4
Port Charlotte, FL 33980-5230

Mailing address

24150 Tiseo Blvd
Unit #4
Port Charlotte, FL 33980-5230
Phone (941) 255-0424

National Provider Directory

National Provider Directory

Locations

24123 Peachland Blvd
Unit C1
Port Charlotte, FL 33954
Phone (941) 255-0424

24150 Tiseo Blvd
Unit 4
Port Charlotte, FL 33980
Phone (941) 255-0424

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1144386897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24150 TISEO BLVD",
            "address_2": "UNIT #4",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339805230",
            "telephone_number": "941-255-0424",
            "fax_number": "941-255-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24150 TISEO BLVD",
            "address_2": "UNIT #4",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339805230",
            "telephone_number": "941-255-0424",
            "fax_number": "941-255-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHLAND CHIROPRACTIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "HARMS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-255-0424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.