Active NPI
Doctor's Professional Services Consultants, Inc
- Chiropractor
- Stuart, FL
National Provider Identifier
1346456167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH3821
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.
-
- Chiropractor
- Ormond Beach, FL
- NPI 1275685281
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.