Spine Soldier Chiropractic Clinics

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPINE SOLDIER CHIROPRACTIC CLINICS

Practice address

190 Vining CT
Ormond Beach, FL 32176-6658

Phone

(386) 673-3085

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Luis Oyola, DC

Title

President

Phone

(386) 405-4532

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Link, DC

  • Chiropractor
  • Ormond Beach, FL
  • NPI 1700810496
  NPD
• Vincent T Mattiello, DC

  • Chiropractor
  • Debary, FL
  • NPI 1306855168
  NPD (past)

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1285340927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PINE LOOK PASS",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321742420",
            "telephone_number": "386-405-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 VINING CT",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321766658",
            "telephone_number": "386-673-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SOLDIER CHIROPRACTIC CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "OYOLA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-405-4532",
        "authorized_official_name_prefix": "Dr.",
        "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 Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.