Organization Active NPI

Performance Chiropractic

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1255500930
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6703 Issued in FL
Legal business name
PERFORMANCE CHIROPRACTIC
Practice address
13830 58TH St N Ste 411
Clearwater, FL 33760-3720
Phone
(727) 532-9700
Fax
(727) 532-9744
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Stacy Elizabeth Walker, DCNPI 1881783082
Title
Owner
Phone
(727) 532-9700

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 CH6703 FL Primary

Addresses

Primary practice location

13830 58TH St N Ste 411
Clearwater, FL 33760-3720

Mailing address

13830 58TH St N Ste 411
Clearwater, FL 33760-3720

National Provider Directory

National Provider Directory

Locations

13830 58th St N
Ste 411
Clearwater, FL 33760
Phone (727) 532-9700

Practitioners & affiliated clinicians

Practitioners 1

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": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1255500930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13830 58TH ST N STE 411",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603720",
            "fax_number": "727-532-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 58TH ST N STE 411",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603720",
            "telephone_number": "727-532-9700",
            "fax_number": "727-532-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-532-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.