Organization Active NPI

Gen Trio, PA

Doing business as Active Family Chiropractic

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1225433782
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10339 Issued in FL
Legal business name
GEN TRIO, PA
Doing business as
Active Family Chiropractic
Practice address
9654 W Linebaugh Ave
Suite 117
Tampa, FL 33626-1805
Phone
(813) 344-4499
NPI assigned
Oct 27, 2014
Last updated
Oct 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Jenny L Mejia, DC
Title
President
Phone
(813) 344-4499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10339 FL Primary

Addresses

Primary practice location

9654 W Linebaugh Ave
Suite 117
Tampa, FL 33626-1805

Mailing address

9654 W Linebaugh Ave
Suite 117
Tampa, FL 33626-1805
Phone (813) 344-4499

Other names 1

  • Active Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1225433782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9654 W LINEBAUGH AVE",
            "address_2": "SUITE 117",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261805",
            "telephone_number": "813-344-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9654 W LINEBAUGH AVE",
            "address_2": "SUITE 117",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261805",
            "telephone_number": "813-344-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEN TRIO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-344-4499",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.