Organization Active NPI

Starke Chiropractic Inc.

  • Clinic/Center
  • Starke, FL
National Provider Identifier
1184891178
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
STARKE CHIROPRACTIC INC.
Practice address
225 S Orange St
Starke, FL 32091-3833
Phone
(904) 368-0011
Fax
(904) 368-0013
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Dr. Martin Slaughter, D.C.
Title
Ceo
Phone
(904) 368-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

225 S Orange St
Starke, FL 32091-3833

Mailing address

225 S Orange St
Starke, FL 32091-3833
Phone (904) 368-0011

Other identifiers 2

IdentifierTypeStateIssuer
70023ZOtherFLMEDICARE PTAN
70023OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

225 S Orange St
Starke, FL 32091
Phone (904) 368-0011

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": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1184891178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S ORANGE ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913833",
            "telephone_number": "904-368-0011",
            "fax_number": "904-368-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S ORANGE ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913833",
            "telephone_number": "904-368-0011",
            "fax_number": "904-368-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-368-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "70023Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "70023",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starke, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.