NPIMap

Organization Active NPI

Legacy Chiropractic Partners LLC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1255617502
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9834 Issued in FL
Legal business name
LEGACY CHIROPRACTIC PARTNERS LLC
Doing business as
CHIRO-MED PLUS
Practice address
4000 Saint Johns Ave
Suite 35
Jacksonville, FL 32205-9352
Phone
(904) 236-4619
Fax
(904) 367-0290
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Dr. Joel Earl Manion, D.C.
Title
Owner
Phone
(904) 236-4619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9834 FL Primary

Addresses

Primary practice location

4000 Saint Johns Ave
Suite 35
Jacksonville, FL 32205-9352

Mailing address

4000 Saint Johns Ave
Suite 35
Jacksonville, FL 32205-9352
Phone (904) 236-4619

Other names 1

  • CHIRO-MED PLUS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1255617502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SAINT JOHNS AVE",
            "address_2": "SUITE 35",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322059352",
            "telephone_number": "904-236-4619",
            "fax_number": "904-367-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SAINT JOHNS AVE",
            "address_2": "SUITE 35",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322059352",
            "telephone_number": "904-236-4619",
            "fax_number": "904-367-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CHIROPRACTIC PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "MANION",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-236-4619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHIRO-MED PLUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.