TMJ TX Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

SA 1638 Issued in FL

Legal business name

TMJ TX CLINIC

Practice address

8649 Regency Park Blvd
Port Richey, FL 34668-5742

Phone

(727) 813-0475

NPI assigned

Nov 19, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Ina Marie Chancey, MS/CCC/SLP

Title

Owner

Phone

(727) 813-0475

Specialties & licenses 1

Addresses

Tax ID family

TMJ TX Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• TMJ TX Clinic

  • Speech-Language Pathologist
  • Port Richey, FL
  • NPI 1639379035
  NPD tax ID

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1144558727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8649 REGENCY PARK BLVD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346685742",
            "telephone_number": "727-843-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8649 REGENCY PARK BLVD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346685742",
            "telephone_number": "727-813-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMJ TX CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "CHANCEY",
        "authorized_official_first_name": "INA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-813-0475",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS/CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "SA 1638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Cottages of PT Richey, Inc.
• The Fairfax House Inc
• The Hearing Aid Center
• Gordon Thomas, OD
• Natassia Tirado
• TMJ TX Clinic
• Cecilio Torres-Ruiz, M.D.,P.A.
• Total Renal Care Inc
• Norman Toth, D.O.
• Julie M. Tran-Lockwood, O.D.

• Clinic/Center in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.