Active NPI
Jayne Kwiatkowski LLC
- Clinic/Center
- Ormond Beach, FL
National Provider Identifier
1225469430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- CH9417
- Legal business name
- JAYNE KWIATKOWSKI LLC
- Practice address
- 208 Booth Rd
Suite 1
Ormond Beach, FL 32174-5717 - Phone
- (386) 872-5323
- NPI assigned
- Dec 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jayne Kwiatkowski, D.C.
- Title
- Owner/Manager
- Phone
- (386) 872-5323
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | CH9417 | FL | Primary |
Addresses
Primary practice location
208 Booth Rd
Suite 1
Ormond Beach, FL 32174-5717
Mailing address
208 Booth Rd
Suite 1
Ormond Beach, FL 32174-5717
Phone (386) 872-5323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382271100 | Medicaid | FL |
Other names 1
- Tomoka Spine and Posture Institute
National Provider Directory
National Provider Directory- Tax ID family
- The Chiropractic Studio at Longwood Rehabilitation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Holly Hill, FL
- NPI 1306148705
-
- Chiropractor
- Longwood, FL
- NPI 1104149871
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- New Smyrna Beach, FL
- NPI 1588850218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386892800000",
"number": "1225469430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 BOOTH RD",
"address_2": "SUITE 1",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745717",
"telephone_number": "386-872-5323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 BOOTH RD",
"address_2": "SUITE 1",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745717",
"telephone_number": "386-872-5323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAYNE KWIATKOWSKI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-13",
"last_updated": "2013-12-13",
"status": "A",
"authorized_official_last_name": "KWIATKOWSKI",
"authorized_official_first_name": "JAYNE",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "386-872-5323",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "FL",
"license": "CH9417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "382271100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tomoka Spine and Posture Institute",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.