Active NPI
Conforti Chiropractic & Wellness Center Inc
- Chiropractor
- Oldsmar, FL
National Provider Identifier
1316010143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7630
- Legal business name
- CONFORTI CHIROPRACTIC & WELLNESS CENTER INC
- Practice address
- 4040 Tampa Rd
Oldsmar, FL 34677-3205 - Phone
- (813) 818-7499
- Fax
- (813) 818-7239
- NPI assigned
- Nov 17, 2006
- Last updated
- Jan 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Wayne Blake
- Title
- Billing Manager
- Phone
- (813) 818-7499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH7630 | FL | Primary |
Addresses
Primary practice location
4040 Tampa Rd
Oldsmar, FL 34677-3205
Mailing address
4040 Tampa Rd
Oldsmar, FL 34677-3205
Phone (813) 818-7499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002847800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4050 Tampa Rd
Ste D
Oldsmar, FL 34677
Phone (813) 818-7499
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Oldsmar, FL
- NPI 1558432492
-
- Chiropractor
- Oldsmar, FL
- NPI 1619560836
-
- Chiropractor
- Oldsmar, FL
- NPI 1326118449
-
- Chiropractor
- Oldsmar, FL
- NPI 1093576944
-
- Chiropractor
- Tampa, FL
- NPI 1396201554
-
- Chiropractor
- Spring Hill, FL
- NPI 1861799272
-
- Physical Therapist
- Tarpon Springs, FL
- NPI 1467770040
-
- Chiropractor
- Oldsmar, FL
- NPI 1770135568
-
- Chiropractor
- Oldsmar, FL
- NPI 1508366246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358985600000",
"number": "1316010143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 TAMPA RD",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346773205",
"telephone_number": "813-818-7499",
"fax_number": "813-818-7239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 TAMPA RD",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346773205",
"telephone_number": "813-818-7499",
"fax_number": "813-818-7239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONFORTI CHIROPRACTIC & WELLNESS CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2013-01-24",
"status": "A",
"authorized_official_last_name": "BLAKE",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "813-818-7499"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002847800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oldsmar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.