Active NPI
Courtenay Chiropractic Center PA
- Chiropractor
- Merritt Island, FL
National Provider Identifier
1154484293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7564
- Legal business name
- COURTENAY CHIROPRACTIC CENTER PA
- Practice address
- 1175 N Courtenay Pkwy
Suite 1a
Merritt Island, FL 32953-4514 - Phone
- (321) 453-2555
- Fax
- (321) 453-2586
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheldon M Hoxie, DC
- Title
- President
- Phone
- (321) 453-2555
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH7564 | FL | Primary |
Addresses
Primary practice location
1175 N Courtenay Pkwy
Suite 1a
Merritt Island, FL 32953-4514
Mailing address
1175 N Courtenay Pkwy
Suite 1a
Merritt Island, FL 32953-4514
Phone (321) 453-2555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00061582 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1175 N Courtenay Pkwy
Ste 1A
Merritt Island, FL 32953
Phone (321) 453-2555
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307491200000",
"number": "1154484293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 N COURTENAY PKWY",
"address_2": "SUITE 1A",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329534514",
"telephone_number": "321-453-2555",
"fax_number": "321-453-2586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 N COURTENAY PKWY",
"address_2": "SUITE 1A",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329534514",
"telephone_number": "321-453-2555",
"fax_number": "321-453-2586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COURTENAY CHIROPRACTIC CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2011-06-08",
"status": "A",
"authorized_official_last_name": "HOXIE",
"authorized_official_first_name": "SHELDON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-453-2555",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00061582",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.