SF Chiropractic & Rehab Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9101 Issued in FL

Legal business name

SF CHIROPRACTIC & REHAB CENTER, INC

Practice address

2312 Crestover LN Ste 101
Wesley Chapel, FL 33544-6790

Phone

(813) 501-8091

Fax

(813) 803-4729

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Yong H Kim, D.C., D.A.C.N.B.

Title

President

Phone

(813) 350-9100

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1245209287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076433",
            "telephone_number": "813-350-9100",
            "fax_number": "813-374-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 CRESTOVER LN STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446790",
            "telephone_number": "813-501-8091",
            "fax_number": "813-803-4729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4602 N Armenia Ave",
            "address_2": "Suite D-3",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336032626",
            "country_code": "US",
            "telephone_number": "813-350-9100",
            "fax_number": "813-374-8929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4121 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076433",
            "country_code": "US",
            "telephone_number": "813-350-9100",
            "fax_number": "813-374-8929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SF CHIROPRACTIC & REHAB CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-350-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., D.A.C.N.B."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9101",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6830",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "98012",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATENA",
            "identifier": "0007183804",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "698090",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.