Organization Active NPI

University Chiropractic Center, Inc.

  • Adult Medicine Physician
  • University Park, FL
National Provider Identifier
1265620595
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
UNIVERSITY CHIROPRACTIC CENTER, INC.
Practice address
5245 University Pkwy Unit 101
University Park, FL 34201-3011
Phone
(941) 360-2220
Fax
(941) 360-2229
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Dr. Charles Brady Arnsperger, D.C.NPI 1801865829
Title
President
Phone
(941) 360-2220

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH7921 FL
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

5245 University Pkwy Unit 101
University Park, FL 34201-3011

Mailing address

8233 Cooper Creek Blvd
University Park, FL 34201-2009
Phone (941) 360-2220

Other identifiers 1

IdentifierTypeStateIssuer
381741500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505001351 FL Part B Supplier - Clinic/Group Practice 4082602123 Receives reassigned benefits from 4 practitioners
Practice locations: University Park, FL

National Provider Directory

National Provider Directory

Locations

5245 University Pkwy
Unit 101
University Park, FL 34201
Phone (941) 360-2220

8233 Cooper Creek Blvd
University Park, FL 34201
Phone (941) 360-2220

Practitioners & affiliated clinicians

Practitioners 6

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": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1265620595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8233 COOPER CREEK BLVD",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342012009",
            "telephone_number": "941-360-2220",
            "fax_number": "941-360-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 UNIVERSITY PKWY UNIT 101",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342013011",
            "telephone_number": "941-360-2220",
            "fax_number": "941-360-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "ARNSPERGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BRADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-360-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7921",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381741500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in University Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.

Verify at the official NPI Registry.