Organization Active NPI

Nova Spine Group

Doing business as NovaSpine Chiropractic

  • Chiropractor
  • Venice, FL
National Provider Identifier
1154147536
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NOVA SPINE GROUP
Doing business as
NovaSpine Chiropractic
Practice address
109 Tampa Ave W
Venice, FL 34285-1728
Phone
(941) 202-4373
Fax
(877) 719-0086
NPI assigned
Dec 2, 2024
Last updated
Dec 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Christopher Kerio, D.C.NPI 1861261141
Title
Manager
Phone
(941) 202-4373

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

109 Tampa Ave W
Venice, FL 34285-1728

Mailing address

109 Tampa Ave W
Venice, FL 34285-1728
Phone (941) 202-4373

Other names 1

  • NovaSpine Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

109 Tampa Ave W
Venice, FL 34285
Phone (941) 202-4373

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1154147536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 TAMPA AVE W",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342851728",
            "telephone_number": "941-202-4373",
            "fax_number": "877-719-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 TAMPA AVE W",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342851728",
            "telephone_number": "941-202-4373",
            "fax_number": "877-719-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA SPINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "KERIO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-202-4373",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaSpine Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.