Oceanside Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10855 Issued in FL

Legal business name

OCEANSIDE CHIROPRACTIC LLC

Practice address

14 Office Park Drive
Suite 6
Palm Coast, FL 32137-3830

Phone

(386) 283-4991

Fax

(386) 283-4995

NPI assigned

Jun 24, 2013

Organization subpart

No

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

Authorized official

Name

Tracie Restieri, DC

Title

Doctor

Phone

(386) 283-4991

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Tracie Lynn Restieri Lucas, D.C.

  • Chiropractor
  • High Springs, FL
  • NPI 1750336616
  NPD

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1205275146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 OFFICE PARK DRIVE",
            "address_2": "SUITE 6",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373830",
            "telephone_number": "386-283-4991",
            "fax_number": "386-283-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 OFFICE PARK DRIVE",
            "address_2": "SUITE 6",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373830",
            "telephone_number": "386-283-4991",
            "fax_number": "386-283-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "RESTIERI",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "386-283-4991",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "HG655A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nurture From Within Counseling LLC
• Deborah L O'Neal, L.M.H.C.
• Corrinna Oakley, PA-C
• Melinda Carol Obal
• Oceans Dental Group Inc
• Oceanside Medical Center Direct Primary Care, LLC
• Nicole Oetting
• Allan C Oglesby, M.D.
• Chamion Olivier, MD
• Erik J Olson, D.M.D.

• Chiropractor in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.