Nathaniel Luke Puyau, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 9668 Issued in FL

Practice address

422 Osceola Ave
Jacksonville Beach, FL 32250-4077

Phone

(904) 246-9955

Fax

(904) 246-9956

NPI assigned

Jan 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prado Chiropractic and Acupuncture

  dba Talton Chiropractic

  • Chiropractor
  • Jacksonville Beach, FL
  • NPI 1063982320
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1316184179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 OSCEOLA AVE",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504077",
            "telephone_number": "904-246-9955",
            "fax_number": "904-246-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 OSCEOLA AVE",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504077",
            "telephone_number": "904-246-9955",
            "fax_number": "904-246-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUYAU",
        "first_name": "NATHANIEL",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Randi Railsback, OTD, OTR/L

• Chiropractor in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.