Prodigy Health LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PRODIGY HEALTH LLC

Practice address

410 S Ware Blvd Ste 815
Tampa, FL 33619-4456

Phone

(813) 492-0370

Fax

(813) 374-4546

NPI assigned

May 31, 2022

Last updated

Jun 30, 2022By 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

Dr. Justin Alberto Rios, DCNPI 1386221281

Title

Owner, Ceo

Phone

(813) 492-0370

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Justin Alberto Rios, DC

  • Chiropractor
  • Valrico, FL
  • NPI 1386221281
  NPD Authorized official

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1326787268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S WARE BLVD STE 815",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194456",
            "telephone_number": "813-492-0370",
            "fax_number": "813-374-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S WARE BLVD STE 815",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194456",
            "telephone_number": "813-492-0370",
            "fax_number": "813-374-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "813-492-0370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.