NPIMap

Organization Active NPI

Destin Chiropractic, PLLC

  • Chiropractor
  • Destin, FL
National Provider Identifier
1174068019
Registry record updated Jan 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11790 Issued in FL
Legal business name
DESTIN CHIROPRACTIC, PLLC
Practice address
4467 Commons Dr W Ste B
Destin, FL 32541-8455
Phone
(850) 460-2333
NPI assigned
Jan 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2017

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

Authorized official

Name
Kathryn Clower, D.C.
Title
Coo
Phone
(850) 460-2333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH11791 FL
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH11790 FL Primary

Addresses

Primary practice location

4467 Commons Dr W Ste B
Destin, FL 32541-8455

Mailing address

4467 Commons Dr W Ste B
Destin, FL 32541-8455

National Provider Directory

National Provider Directory

Locations

4467 Commons Dr W
Ste B
Destin, FL 32541
Phone (850) 460-2333

Practitioners & affiliated clinicians

Practitioners 2

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": "1483315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483315200000",
    "number": "1174068019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4467 COMMONS DR W STE B",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 COMMONS DR W STE B",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418455",
            "telephone_number": "850-460-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-02",
        "last_updated": "2017-01-02",
        "status": "A",
        "authorized_official_last_name": "CLOWER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "850-460-2333",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11791",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11790",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 2, 2017; 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.