NPIMap

Organization Active NPI

Destin Chiropractic Center

  • Chiropractor
  • Destin, FL
National Provider Identifier
1154515229
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6571 Issued in FL
Legal business name
DESTIN CHIROPRACTIC CENTER
Practice address
3999 Commons Dr
Suite C
Destin, FL 32541
Phone
(850) 654-6912
Fax
(850) 654-9459
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Dr. Thomas E Kracht, DC
Title
Chiropractor
Phone
(850) 654-6912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH6571 FL Primary

Addresses

Primary practice location

3999 Commons Dr
Suite C
Destin, FL 32541

Mailing address

3999 Commons Dr
Suite C
Destin, FL 32541
Phone (850) 654-6912

Other identifiers 1

IdentifierTypeStateIssuer
22847OtherFLPROVIDER

National Provider Directory

National Provider Directory

Locations

3999 Commons Dr W
Ste C
Destin, FL 32541
Phone (850) 654-6912

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1154515229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 COMMONS DR",
            "address_2": "SUITE C",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32541",
            "telephone_number": "850-654-6912",
            "fax_number": "850-654-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 COMMONS DR",
            "address_2": "SUITE C",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32541",
            "telephone_number": "850-654-6912",
            "fax_number": "850-654-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "KRACHT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "850-654-6912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER",
            "identifier": "22847",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.