Organization Active NPI

John S Kovar DC PA

  • Chiropractor
  • Fort Walton Beach, FL
National Provider Identifier
1285961821
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3886 Issued in FL
Legal business name
JOHN S KOVAR DC PA
Practice address
29G Miracle Strip Pkwy SW
Fort Walton Beach, FL 32548-6655
Phone
(850) 244-1200
Fax
(850) 664-2170
NPI assigned
Nov 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Authorized official

Name
John S Kovar, D.C.
Title
President
Phone
(850) 244-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH3886 FL Primary

Addresses

Primary practice location

29G Miracle Strip Pkwy SW
Fort Walton Beach, FL 32548-6655

Mailing address

29G Miracle Strip Pkwy SW
Fort Walton Beach, FL 32548-6655
Phone (850) 244-1200

National Provider Directory

National Provider Directory

Locations

29G Miracle Strip Pkwy SW
Ft Walton Bch, FL 32548
Phone (334) 437-4308

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1285961821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29G MIRACLE STRIP PKWY SW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486655",
            "telephone_number": "850-244-1200",
            "fax_number": "850-664-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29G MIRACLE STRIP PKWY SW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325486655",
            "telephone_number": "850-244-1200",
            "fax_number": "850-664-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S KOVAR DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "KOVAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-244-1200",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.