Organization Active NPI

Doctor's Professional Services Consultants, Inc

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1346456167
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3821 Issued in FL
Legal business name
DOCTOR'S PROFESSIONAL SERVICES CONSULTANTS, INC
Practice address
2682 SE Willoughby Blvd
Suite 201
Stuart, FL 34994-4738
Phone
(386) 615-0801
Fax
(386) 672-4811
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Michael S Jackson
Title
Ceo
Phone
(386) 615-0801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH3821 FL Primary

Addresses

Primary practice location

2682 SE Willoughby Blvd
Suite 201
Stuart, FL 34994-4738

Mailing address

2682 SE Willoughby Blvd
Suite 201
Stuart, FL 34994-4738
Phone (386) 615-0801

National Provider Directory

National Provider Directory

Locations

50 S Perrott Dr
Ormond Beach, FL 32174
Phone (386) 615-0801

2682 SE Willoughby Blvd
Ste 201
Stuart, FL 34994
Phone (386) 615-0801

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1346456167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2682 SE WILLOUGHBY BLVD",
            "address_2": "SUITE 201",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944738",
            "telephone_number": "386-615-0801",
            "fax_number": "386-672-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2682 SE WILLOUGHBY BLVD",
            "address_2": "SUITE 201",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944738",
            "telephone_number": "386-615-0801",
            "fax_number": "386-672-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR'S PROFESSIONAL SERVICES CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-615-0801"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.