Diagnostic Chiropractic Mi PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DIAGNOSTIC CHIROPRACTIC MI PC

Practice address

201 4TH St S Unit 241
Saint Petersburg, FL 33701-4299

Phone

(917) 449-7582

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Robert Super, DC

Title

Vicepresident

Phone

(917) 449-7582

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1275101263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 4TH ST S UNIT 241",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014299",
            "telephone_number": "917-449-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 4TH ST S UNIT 241",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014299",
            "telephone_number": "917-449-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC CHIROPRACTIC MI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "SUPER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICEPRESIDENT",
        "authorized_official_telephone_number": "917-449-7582",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.