NPIMap

Organization Active NPI

Surfside Chiropractic of Jacksonville, LLC

  • Chiropractor
  • Atlantic Beach, FL
National Provider Identifier
1336497916
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10325 Issued in FL
Legal business name
SURFSIDE CHIROPRACTIC OF JACKSONVILLE, LLC
Practice address
469 Atlantic Blvd
Unit 8
Atlantic Beach, FL 32233
Phone
(904) 241-8302
NPI assigned
Aug 29, 2012
Last updated
Aug 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. Richard Nicholas Baiata, D.C.NPI 1497965883
Title
Chiropractor/Owner
Phone
(917) 204-4166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 10325 FL Primary

Addresses

Primary practice location

469 Atlantic Blvd
Unit 8
Atlantic Beach, FL 32233

Mailing address

469 Atlantic Blvd
Unit 8
Atlantic Beach, FL 32233
Phone (904) 241-8302

National Provider Directory

National Provider Directory

Locations

469 Atlantic Blvd
Ste 8
Atlantic Beach, FL 32233
Phone (904) 241-8302

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1336497916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 ATLANTIC BLVD",
            "address_2": "UNIT 8",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "32233",
            "telephone_number": "904-241-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 ATLANTIC BLVD",
            "address_2": "UNIT 8",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "32233",
            "telephone_number": "904-241-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURFSIDE CHIROPRACTIC OF JACKSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "BAIATA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "917-204-4166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.