Organization Active NPI

Nokomis Natural Healing Center of Nokomis Inc.

  • Chiropractor
  • Nokomis, FL
National Provider Identifier
1184894255
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8099 Issued in FL
Legal business name
NOKOMIS NATURAL HEALING CENTER OF NOKOMIS INC.
Practice address
303 Tamiami TRL S
Unit F
Nokomis, FL 34275-3104
Phone
(941) 488-2008
NPI assigned
Mar 5, 2008
Last updated
Feb 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Dr. Christian Hunter Gonsalves, D.C.NPI 1568561660
Title
Owner
Phone
(941) 488-2008

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8099 FL Primary

Addresses

Primary practice location

303 Tamiami TRL S
Unit F
Nokomis, FL 34275-3104

Mailing address

303 S. Tamiami TR.
Unit F
Nokomis, FL 34275
Phone (941) 488-2008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080603000215 FL Part B Supplier - Clinic/Group Practice 6800965922 Receives reassigned benefits from 1 practitioner
Practice locations: Nokomis, FL

National Provider Directory

National Provider Directory

Locations

303 Tamiami Trl S
Ste F
Nokomis, FL 34275
Phone (941) 484-0008

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": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1184894255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S. TAMIAMI TR.",
            "address_2": "UNIT F",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "34275",
            "telephone_number": "941-488-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 TAMIAMI TRL S",
            "address_2": "UNIT F",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342753104",
            "telephone_number": "941-488-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOKOMIS NATURAL HEALING CENTER OF NOKOMIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "GONSALVES",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-488-2008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nokomis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.