Organization Active NPI

JQZ Chiropractic LLC

  • Rehabilitation Chiropractor
  • Clearwater, FL
National Provider Identifier
1194307496
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
JQZ CHIROPRACTIC LLC
Practice address
2575 Harn Blvd
Clearwater, FL 33764-3104
Phone
(727) 535-7799
Fax
(727) 535-3638
NPI assigned
Apr 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Kenneth Andrew Boothe, DCNPI 1366796351
Title
Owner / Chiropractic Physician
Phone
(727) 535-7799

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

2575 Harn Blvd
Clearwater, FL 33764-3104

Mailing address

2575 Harn Blvd
Clearwater, FL 33764-3104
Phone (727) 535-7799

Other names 1

  • First Choice Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210519002298 FL Part B Supplier - Clinic/Group Practice 0446659627 Receives reassigned benefits from 2 practitioners
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory

Locations

2575 Harn Blvd
Clearwater, FL 33764
Phone (727) 458-3942

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": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1194307496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 HARN BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643104",
            "telephone_number": "727-535-7799",
            "fax_number": "727-535-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 HARN BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643104",
            "telephone_number": "727-535-7799",
            "fax_number": "727-535-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JQZ CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "BOOTHE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER / CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "727-535-7799",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Choice Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.