Organization Active NPI

Evan P Welfare

  • Chiropractor
  • Orange Park, FL
National Provider Identifier
1326588476
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11934 Issued in FL
Legal business name
EVAN P WELFARE
Practice address
1820 Park Ave
Orange Park, FL 32073-4913
Phone
(904) 264-2988
NPI assigned
Mar 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Dr. Evan P Welfare, D.C.
Title
Owner
Phone
(904) 415-6188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11934 FL Primary

Addresses

Primary practice location

1820 Park Ave
Orange Park, FL 32073-4913

Mailing address

176 Hollywood Forest Dr
Fleming Island, FL 32003-7816
Phone (904) 415-6188

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1326588476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 HOLLYWOOD FOREST DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037816",
            "telephone_number": "904-415-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 PARK AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734913",
            "telephone_number": "904-264-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN P WELFARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "WELFARE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-415-6188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.