Organization Active NPI

Thomas E Hughes, DC, PA

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1154821064
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8105 Issued in FL
Legal business name
THOMAS E HUGHES, DC, PA
Practice address
1228 66TH St N
St Petersburg, FL 33710-6226
Phone
(727) 341-1234
Fax
(727) 384-6158
NPI assigned
Feb 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Dr. Thomas E Hughes, DCNPI 1992799175
Title
Owner/Medical Director
Phone
(727) 341-1234

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 CH8105 FL Primary

Addresses

Primary practice location

1228 66TH St N
St Petersburg, FL 33710-6226

Mailing address

PO Box 48393
St Petersburg, FL 33743-8393
Phone (727) 341-1234

Other practice location 1

7730 Starkey Rd
Seminole, FL 33777-4307
Phone (727) 341-1234

Other identifiers 3

IdentifierTypeStateIssuer
648476OtherFLUNITED HEALTH CARE
CH8105OtherFLLICENSE NUMBER
89934OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190411000577 FL Part B Supplier - Clinic/Group Practice 6406197839 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

1228 66th St N
St Petersburg, FL 33710
Phone (727) 341-1234

Practitioners & affiliated clinicians

Practitioners 3

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": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1154821064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48393",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337438393",
            "telephone_number": "727-341-1234",
            "fax_number": "727-384-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106226",
            "telephone_number": "727-341-1234",
            "fax_number": "727-384-6158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7730 Starkey Rd",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337774307",
            "country_code": "US",
            "telephone_number": "727-341-1234",
            "fax_number": "727-685-0694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THOMAS E HUGHES, DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-341-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "648476",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "CH8105",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89934",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.