Organization Active NPI

Corrective Care Chiropractic Limited Liability Company

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1245426733
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8600 Issued in FL
Legal business name
CORRECTIVE CARE CHIROPRACTIC LIMITED LIABILITY COMPANY
Practice address
4517 26TH St W
Bradenton, FL 34207-1295
Phone
(941) 752-6002
Fax
(941) 752-6008
NPI assigned
Sep 19, 2007
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Dr. Timothy Jay, D.C.
Title
Owner
Phone
(941) 752-6002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8600 FL Primary

Addresses

Primary practice location

4517 26TH St W
Bradenton, FL 34207-1295

Mailing address

4517 26TH St W
Bradenton, FL 34207-1295
Phone (941) 752-6002

National Provider Directory

National Provider Directory

Locations

4517 26th St W
Bradenton, FL 34207
Phone (941) 752-6002

6924 Professional Pkwy
Ste B
Lakewood Ranch, FL 34240
Phone (941) 362-4000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1245426733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071295",
            "telephone_number": "941-752-6002",
            "fax_number": "941-752-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071295",
            "telephone_number": "941-752-6002",
            "fax_number": "941-752-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIVE CARE CHIROPRACTIC LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "JAY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-752-6002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.