NPIMap

Organization Active NPI

Seaside Spine LLC

  • Chiropractor
  • Destin, FL
National Provider Identifier
1215313705
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11531 Issued in FL
Legal business name
SEASIDE SPINE LLC
Practice address
981 Highway 98 E
Suite 9
Destin, FL 32541
Phone
(850) 830-5407
NPI assigned
Aug 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Authorized official

Name
Samuel Jonathan Barbee, DCNPI 1477974236
Title
Owner
Phone
(850) 830-5407

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11531 FL Primary

Addresses

Primary practice location

981 Highway 98 E
Suite 9
Destin, FL 32541

Mailing address

981 Highway 98 E
Suite 9
Destin, FL 32541-2584
Phone (850) 830-5407

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180718000052 FL Part B Supplier - Clinic/Group Practice 7315294691 Receives reassigned benefits from 5 practitioners
Practice locations: Destin, FL

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1215313705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 HIGHWAY 98 E",
            "address_2": "SUITE 9",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412584",
            "telephone_number": "850-830-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 HIGHWAY 98 E",
            "address_2": "SUITE 9",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32541",
            "telephone_number": "850-830-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "BARBEE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-830-5407",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.