Organization Active NPI

Spine Design Chiropractic Center, LLC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1295234573
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12385 Issued in FL
Legal business name
SPINE DESIGN CHIROPRACTIC CENTER, LLC
Practice address
8710 W Hillsborough Ave # 315
Tampa, FL 33615-3705
Phone
(859) 323-0225
NPI assigned
Feb 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Kiani Kiani Segree, DC
Title
Chiropractic Physician
Phone
(850) 323-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12385 FL Primary

Addresses

Primary practice location

8710 W Hillsborough Ave # 315
Tampa, FL 33615-3705

Mailing address

8710 W Hillsborough Ave # 315
Tampa, FL 33615-3705
Phone (850) 323-0225

Other practice location 1

4015 N Armenia Ave
Tampa, FL 33607-1001
Phone (850) 323-0225

Other practice location 2

4015 N Armenia Ave
Tampa, FL 33607-1001
Phone (850) 323-0225

Other practice location 3

193 Oak Lake Dr
Spring Hill, FL 34608-6827
Phone (850) 323-0225

National Provider Directory

National Provider Directory

Locations

3275 Commercial Way
Spring Hill, FL 34606
Phone (352) 232-3498

4015 N Armenia Ave
Tampa, FL 33607
Phone (813) 873-2003

8710 W Hillsborough Ave
#315
Tampa, FL 33615
Phone (859) 323-0225

Practitioners & affiliated clinicians

Practitioners 1

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": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1295234573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 W HILLSBOROUGH AVE # 315",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153705",
            "telephone_number": "850-323-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 W HILLSBOROUGH AVE # 315",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153705",
            "telephone_number": "859-323-0225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4015 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336071001",
            "country_code": "US",
            "telephone_number": "850-323-0225",
            "fax_number": "239-919-2783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4015 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336071001",
            "country_code": "US",
            "telephone_number": "850-323-0225",
            "fax_number": "239-919-2783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "193 Oak Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346086827",
            "country_code": "US",
            "telephone_number": "850-323-0225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE DESIGN CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SEGREE",
        "authorized_official_first_name": "KIANI",
        "authorized_official_middle_name": "KIANI",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "850-323-0225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.