Organization Active NPI

Zivkovic Chiropractic Center

  • Chiropractor
  • Fleming Island, FL
National Provider Identifier
1184993511
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4847 Issued in FL
Legal business name
ZIVKOVIC CHIROPRACTIC CENTER
Practice address
4371 US Highway 17
Ste 104
Fleming Island, FL 32003-4812
Phone
(904) 278-4888
Fax
(904) 278-1166
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Radomir Robert Zivkovic, D.C.NPI 1316937386
Title
Owner/Chiropractor
Phone
(904) 278-4888

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
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH4847 FL Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH4708 FL

Addresses

Primary practice location

4371 US Highway 17
Ste 104
Fleming Island, FL 32003-4812

Mailing address

4371 US Highway 17
Ste 104
Fleming Island, FL 32003-4812
Phone (904) 278-4888

National Provider Directory

National Provider Directory

Locations

4371 US Highway 17
Ste 104
Fleming Isle, FL 32003
Phone (904) 278-4888

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": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1184993511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 US HIGHWAY 17",
            "address_2": "STE 104",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034812",
            "telephone_number": "904-278-4888",
            "fax_number": "904-278-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 US HIGHWAY 17",
            "address_2": "STE 104",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034812",
            "telephone_number": "904-278-4888",
            "fax_number": "904-278-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIVKOVIC CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "ZIVKOVIC",
        "authorized_official_first_name": "RADOMIR",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "904-278-4888",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4847",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.