Organization Active NPI

Oceanbreeze Family Chiropractic & Acupuncture, PLC

  • Chiropractor
  • Melbourne, FL
National Provider Identifier
1174889471
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10205 Issued in FL
Legal business name
OCEANBREEZE FAMILY CHIROPRACTIC & ACUPUNCTURE, PLC
Practice address
3682 N Wickham Rd Ste a
Melbourne, FL 32935-2325
Phone
(321) 253-4554
NPI assigned
Apr 11, 2012
Last updated
Apr 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Dr. Lindy Shea Tolleson, D.C.NPI 1881961399
Title
Manager
Phone
(321) 253-4554

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10205 FL Primary
Chiropractor 111N00000X CH10541 FL

Addresses

Primary practice location

3682 N Wickham Rd Ste a
Melbourne, FL 32935-2325

Mailing address

3682 N Wickham Rd Ste a
Melbourne, FL 32935-2325

National Provider Directory

National Provider Directory

Locations

3682 N Wickham Rd
Ste A
Melbourne, FL 32935
Phone (321) 253-3273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1174889471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3682 N WICKHAM RD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3682 N WICKHAM RD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352325",
            "telephone_number": "321-253-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANBREEZE FAMILY CHIROPRACTIC & ACUPUNCTURE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "TOLLESON",
        "authorized_official_first_name": "LINDY",
        "authorized_official_middle_name": "SHEA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-253-4554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10205",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.