NPIMap

Organization Active NPI

Tri-Dimension Spinal Rehab.

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1164819595
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9166 Issued in FL
Legal business name
TRI-DIMENSION SPINAL REHAB.
Practice address
11740-2 San Jose Blvd
Jacksonville, FL 32223-1629
Phone
(904) 880-5755
NPI assigned
Apr 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Dr. Amy Eve Bernstein, DC
Title
Owner
Phone
(954) 547-8120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9166 FL Primary

Addresses

Primary practice location

11740-2 San Jose Blvd
Jacksonville, FL 32223-1629

Mailing address

11503 Summer Haven Blvd N
Jacksonville, FL 32258-2545
Phone (954) 547-8120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1164819595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 SUMMER HAVEN BLVD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582545",
            "telephone_number": "954-547-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740-2 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231629",
            "telephone_number": "904-880-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-DIMENSION SPINAL REHAB.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "EVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-547-8120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9166",
            "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 Apr 23, 2015; 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.