Organization Active NPI

Midnight Pass Chiropractic

  • Sports Physician Chiropractor
  • Sarasota, FL
National Provider Identifier
1306962865
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
MIDNIGHT PASS CHIROPRACTIC
Practice address
3900 Clark Rd
H-1
Sarasota, FL 34233-2301
Phone
(941) 926-1600
Fax
(941) 926-1166
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Dr. Jonathan Alan Berman, DC
Title
Owner
Phone
(941) 926-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

3900 Clark Rd
H-1
Sarasota, FL 34233-2301

Mailing address

3900 Clark Rd
H-1
Sarasota, FL 34233-2301
Phone (941) 926-1600

Other identifiers 1

IdentifierTypeStateIssuer
CH886OtherFLSTATE LICENSE

National Provider Directory

National Provider Directory

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1306962865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD",
            "address_2": "H-1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332301",
            "telephone_number": "941-926-1600",
            "fax_number": "941-926-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD",
            "address_2": "H-1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332301",
            "telephone_number": "941-926-1600",
            "fax_number": "941-926-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDNIGHT PASS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-926-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CH886",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.