Daytona Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8693 Issued in FL

Legal business name

DAYTONA CHIROPRACTIC CLINIC LLC

Practice address

543 S Ridgewood Ave
Daytona Beach, FL 32114-4929

Phone

(386) 253-1113

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew J. Hill, D.C.

Title

Owner

Phone

(386) 253-1113

Specialties & licenses 1

Addresses

Other names 1

• HILL MATT DR SOLE MBR Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda E Burch, LMT

  • Massage Therapist
  • Daytona Beach, FL
  • NPI 1376834853
  NPD (past)
• Kristin Ann Padgett, LMT

  • Massage Therapist
  • Daytona Beach, FL
  • NPI 1144495771
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194857359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 S RIDGEWOOD AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144929",
            "telephone_number": "386-253-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 S RIDGEWOOD AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144929",
            "telephone_number": "386-253-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTONA CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-253-1113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILL MATT DR SOLE MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.