Organization Active NPI

Halifax Spine Center

  • VA Clinic/Center
  • Ormond Beach, FL
National Provider Identifier
1174762157
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
HALIFAX SPINE CENTER
Practice address
1180 W Granada Blvd
Suite D
Ormond Beach, FL 32174-8165
Phone
(386) 290-9505
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Holly Smith, DC
Title
Managing Director
Phone
(386) 290-9505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

1180 W Granada Blvd
Suite D
Ormond Beach, FL 32174-8165

Mailing address

117 Springwood Dr
Daytona Beach, FL 32119-1401

National Provider Directory

National Provider Directory

Locations

1180 W Granada Blvd
Ste D
Ormond Beach, FL 32174
Phone (386) 290-9505

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1174762157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SPRINGWOOD DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 W GRANADA BLVD",
            "address_2": "SUITE D",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748165",
            "telephone_number": "386-290-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "386-290-9505",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.