Organization Active NPI

Scandy Chiropractic LLC

  • Chiropractor
  • Pinellas Park, FL
National Provider Identifier
1265180293
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SCANDY CHIROPRACTIC LLC
Practice address
3491 Gandy Blvd N Ste 205
Pinellas Park, FL 33781-2654
Phone
(727) 623-9383
Fax
(727) 623-9406
NPI assigned
Mar 18, 2022
Organization subpart
Yes
Parent organization
SCANDY CHIROPRACTICE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Theophilos Skandaliaris, DCNPI 1427479112
Title
Owner
Phone
(727) 754-3879

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3491 Gandy Blvd N Ste 205
Pinellas Park, FL 33781-2654

Mailing address

3491 Gandy Blvd N Ste 205
Pinellas Park, FL 33781-2654
Phone (727) 623-9383

Other practice location 1

1988 Gulf To Bay Blvd
Clearwater, FL 33765-3550
Phone (727) 754-3879

Other practice location 2

802 40th St W
Bradenton, FL 34205-1724
Phone (727) 754-3879

Other practice location 3

4051 Upper Creek Dr Ste 106
Sun City Center, FL 33573-6825
Phone (727) 754-3879

Other practice location 4

6399 38th Ave N
St Petersburg, FL 33710-1647
Phone (727) 754-3879

National Provider Directory

National Provider Directory
Tax ID family
Scandy Chiropractic LLC2 organizations share this tax ID, including this one
Part of
Scandy Chiropractic LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3491 Gandy Blvd N
Pinellas Park, FL 33781
Phone (727) 390-2211

6399 38th Ave N
St Petersburg, FL 33710
Phone (727) 384-6411

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": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1265180293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 GANDY BLVD N STE 205",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812654",
            "telephone_number": "727-623-9383",
            "fax_number": "727-623-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 GANDY BLVD N STE 205",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812654",
            "telephone_number": "727-623-9383",
            "fax_number": "727-623-9406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1988 Gulf To Bay Blvd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337653550",
            "country_code": "US",
            "telephone_number": "727-754-3879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 40th St W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342051724",
            "country_code": "US",
            "telephone_number": "727-754-3879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4051 Upper Creek Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736825",
            "country_code": "US",
            "telephone_number": "727-754-3879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6399 38th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337101647",
            "country_code": "US",
            "telephone_number": "727-754-3879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCANDY CHIROPRACTIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCANDY CHIROPRACTICE LLC",
        "enumeration_date": "2022-03-18",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SKANDALIARIS",
        "authorized_official_first_name": "THEOPHILOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-754-3879",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.