Chiropractic & Massage of North Port

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11389 Issued in FL

Legal business name

CHIROPRACTIC & MASSAGE OF NORTH PORT

Practice address

14942 Tamiami TRL Ste L
North Port, FL 34287-2705

Phone

(815) 545-6307

NPI assigned

Jun 21, 2017

Last updated

Nov 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine WallenNPI 1710371190

Title

Owner/Chiropractor

Phone

(815) 545-6307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Port Charlotte Chiropractic LLC

  • Chiropractor
  • Port Charlotte, FL
  • NPI 1356090245

  Member Of

  NPD member

Locations

Practitioners 4

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.

• Christine Wallen, DC

  • Chiropractor
  • Cedar Rapids, IA
  • NPI 1710371190

  FL

  Medicare reassignment Care Compare group NPD Authorized official
• Douglas Scott Sterban, DC

  • Chiropractor
  • Pensacola, FL
  • NPI 1053458711
  Medicare reassignment Care Compare group NPD
• Nicole Tompkins, DC

  • Chiropractor
  • St Petersburg, FL
  • NPI 1609546019
  Medicare reassignment Care Compare group NPD
• Amy Meeker, AP, DOM

  • Acupuncturist
  • Sarasota, FL
  • NPI 1720559263
  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1316467343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14942 TAMIAMI TRL STE L",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872705",
            "telephone_number": "941-564-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14942 TAMIAMI TRL STE L",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872705",
            "telephone_number": "815-545-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC & MASSAGE OF NORTH PORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "WALLEN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "815-545-6307"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "11389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Robert Cherpak, DDS
• Chery Health Care Multi Services
• Lonna Chew
• Shelby Katherine Chirillo, M.A., BCBA
• Brittany Chirinos
• Chiropractic House Calls LLC
• Nadia Chraibi
• Mackenzie Christian
• Naomi Rochelle Christy
• Abigail Church

• Chiropractor in North Port, FL
• Providers in North Port, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.

Verify at the official NPI Registry.