Mychiro, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MYCHIRO, LLC

Practice address

8763 River Crossing Blvd
New Port Richey, FL 34655-1112

Phone

(135) 251-5600

Fax

(352) 610-4387

NPI assigned

Jun 30, 2023

Last updated

Jun 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy Walke

Title

Practice Manager

Phone

(352) 515-6000

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1205513322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095680",
            "telephone_number": "352-515-6000",
            "fax_number": "352-610-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8763 RIVER CROSSING BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551112",
            "telephone_number": "135-251-5600",
            "fax_number": "352-610-4387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "495 Mariner Blvd",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346095680",
            "country_code": "US",
            "telephone_number": "352-397-5188",
            "fax_number": "352-224-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYCHIRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "WALKE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "352-515-6000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.