Clearwater Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9311 Issued in FL

Legal business name

CLEARWATER CHIROPRACTIC CENTER LLC

Practice address

25400 US Highway 19 North
Suite 112
Clearwater, FL 33763

Phone

(727) 417-5223

Fax

(727) 474-3863

NPI assigned

Jan 30, 2009

Last updated

Jun 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jarrett Bradley Grunstein, D.C.

Title

Owner

Phone

(727) 417-5223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1265670178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25400 US HIGHWAY 19 NORTH",
            "address_2": "SUITE 112",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33763",
            "telephone_number": "727-417-5223",
            "fax_number": "727-474-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25400 US HIGHWAY 19 NORTH",
            "address_2": "SUITE 112",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33763",
            "telephone_number": "727-417-5223",
            "fax_number": "727-474-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "GRUNSTEIN",
        "authorized_official_first_name": "JARRETT",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-417-5223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.