Kassab Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10791 Issued in FL

Legal business name

KASSAB CHIROPRACTIC LLC

Doing business as

Hodges Chiropractic

Practice address

13947 Beach Blvd Ste 202
Jacksonville, FL 32224-1200

Phone

(904) 516-7364

Fax

(904) 516-7365

NPI assigned

Feb 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Kassab

Title

Owner

Phone

(904) 516-7364

Specialties & licenses 1

Addresses

Other names 1

• Hodges Chiropractic Doing business as

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1184048803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13947 BEACH BLVD STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241200",
            "telephone_number": "904-516-7364",
            "fax_number": "904-516-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13947 BEACH BLVD STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241200",
            "telephone_number": "904-516-7364",
            "fax_number": "904-516-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASSAB CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "KASSAB",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-516-7364",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hodges Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ann Bevan Kasper, ARNP, FNP-C, DCNP
• Vincent Kasper, MD
• Kasraeian Urology LLC
• Ahmad Kasraeian, M.D.
• Ali Kasraeian, MD
• Sarah Zina Kassab, D.C.
• Emily Bray Kassel, ARNP
• Antoine Kassis, MD
• Ryyan Kassoo, DO
• Julia Elizabeth Kastner, MD

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.