NPIMap

Organization Active NPI

Totally Chiropractic, Inc.

  • Chiropractor
  • Lutz, FL
National Provider Identifier
1255532156
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9333 Issued in FL
Legal business name
TOTALLY CHIROPRACTIC, INC.
Practice address
108 Myrtle Ridge Rd Ste B
Lutz, FL 33549-5645
Phone
(813) 265-8200
Fax
(813) 406-4438
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Dr. Kristopher Forrest Fagan, D.C.NPI 1437204260
Title
Owner
Phone
(813) 265-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 9333 FL Primary

Addresses

Primary practice location

108 Myrtle Ridge Rd Ste B
Lutz, FL 33549-5645

Mailing address

108 Myrtle Ridge Rd Ste B
Lutz, FL 33549-5645
Phone (813) 265-8200

National Provider Directory

National Provider Directory

Locations

108 Myrtle Ridge Rd
Ste B
Lutz, FL 33549
Phone (813) 265-8200

Practitioners & affiliated clinicians

Practitioners 1

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1255532156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MYRTLE RIDGE RD STE B",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495645",
            "telephone_number": "813-265-8200",
            "fax_number": "813-406-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MYRTLE RIDGE RD STE B",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495645",
            "telephone_number": "813-265-8200",
            "fax_number": "813-406-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALLY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "FORREST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-265-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.