Active NPI
Naturally Chiropractic LLC
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1255738084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10215
- Legal business name
- NATURALLY CHIROPRACTIC LLC
- Practice address
- 12627 San Jose Blvd
Suite 106
Jacksonville, FL 32223-2662 - Phone
- (904) 683-9698
- Fax
- (904) 683-3941
- NPI assigned
- Nov 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gavin McCutcheon, D.C.
- Title
- Owner
- Phone
- (904) 625-5714
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 10215 | FL | Primary |
Addresses
Primary practice location
12627 San Jose Blvd
Suite 106
Jacksonville, FL 32223-2662
Mailing address
12627 San Jose Blvd
Suite 106
Jacksonville, FL 32223-2662
Phone (904) 683-9698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12627 San Jose Blvd
Ste 106
Jacksonville, FL 32223
Phone (904) 683-9698
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Jacksonville, FL
- NPI 1427355247
-
- Chiropractor
- Jacksonville, FL
- NPI 1003108283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546992000000",
"number": "1255738084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12627 SAN JOSE BLVD",
"address_2": "SUITE 106",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322232662",
"telephone_number": "904-683-9698",
"fax_number": "904-683-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12627 SAN JOSE BLVD",
"address_2": "SUITE 106",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322232662",
"telephone_number": "904-683-9698",
"fax_number": "904-683-3941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATURALLY CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-21",
"last_updated": "2019-01-09",
"status": "A",
"authorized_official_last_name": "MCCUTCHEON",
"authorized_official_first_name": "GAVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-625-5714",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Jose N Nativi Nicolau, M.D.
- Patrick Edward Natter, M.D.
- Natural Behavior Solutions
- Natural Healthy Solutions of Jacksonville Inc
- Natural Medicine and Wellness Center of Jacksonville, Inc.
- Huschai Nau, MFTI
- Kristen Naugle
- Steven S Nauman, MD
- Nautilus Behavioral Health, PLLC
- Nautilus Health Care Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.