Organization Active NPI

Courtenay Chiropractic Center PA

  • Chiropractor
  • Merritt Island, FL
National Provider Identifier
1154484293
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7564 Issued in FL
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

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Sheldon M Hoxie, DCNPI 1144226788
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
P00061582OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.