Organization Active NPI

Watts Chiropractic L.L.C.

  • Chiropractor
  • Orange City, FL
National Provider Identifier
1154668291
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WATTS CHIROPRACTIC L.L.C.
Practice address
2751 Enterprise Rd
Suite 103
Orange City, FL 32763-8256
Phone
(386) 218-4924
NPI assigned
Jan 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Dr. Terry L. Watts, D.C.NPI 1710983648
Title
Owner
Phone
(386) 218-4924

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 Primary

Addresses

Primary practice location

2751 Enterprise Rd
Suite 103
Orange City, FL 32763-8256

Mailing address

2751 Enterprise Rd
Suite 103
Orange City, FL 32763-8256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260102000831 FL Part B Supplier - Clinic/Group Practice 5496241028 Receives reassigned benefits from 1 practitioner
Practice locations: Orange City, FL

National Provider Directory

National Provider Directory

Locations

2751 Enterprise Rd
Ste 103
Orange City, FL 32763
Phone (386) 218-4924

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": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1154668291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ENTERPRISE RD",
            "address_2": "SUITE 103",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ENTERPRISE RD",
            "address_2": "SUITE 103",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638256",
            "telephone_number": "386-218-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATTS CHIROPRACTIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-218-4924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.