Active NPI
Land Chiropractic and Sports Clinic LLC
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1164688354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9603
- Legal business name
- LAND CHIROPRACTIC AND SPORTS CLINIC LLC
- Practice address
- 8823 San Jose Blvd
Suite 201
Jacksonville, FL 32217-4287 - Phone
- (904) 338-9995
- NPI assigned
- Aug 6, 2008
- 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
- Dr. Christopher Michael Land, D.C.
- Title
- Owner
- Phone
- (904) 477-5057
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 | CH9603 | FL | Primary |
Addresses
Primary practice location
8823 San Jose Blvd
Suite 201
Jacksonville, FL 32217-4287
Mailing address
8823 San Jose Blvd
Suite 201
Jacksonville, FL 32217-4287
Phone (904) 338-9995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8823 San Jose Blvd
Ste 201
Jacksonville, FL 32217
Phone (904) 338-9995
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Jacksonville, FL
- NPI 1376706143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221609600000",
"number": "1164688354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 SAN JOSE BLVD",
"address_2": "SUITE 201",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322174287",
"telephone_number": "904-338-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8823 SAN JOSE BLVD",
"address_2": "SUITE 201",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322174287",
"telephone_number": "904-338-9995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAND CHIROPRACTIC AND SPORTS CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-06",
"last_updated": "2008-09-17",
"status": "A",
"authorized_official_last_name": "LAND",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-477-5057",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.