NPIMap

Organization Active NPI

Phancore Wellness LLC

  • Chiropractor
  • Pinellas Park, FL
National Provider Identifier
1346725140
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PHANCORE WELLNESS LLC
Practice address
5580 Park Blvd N Ste 1
Pinellas Park, FL 33781-3328
Phone
(727) 385-0052
Fax
(727) 914-1594
NPI assigned
Sep 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
John J Phan, DCNPI 1265072284
Title
Chiropractor
Phone
(727) 385-0052

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 Primary

Addresses

Primary practice location

5580 Park Blvd N Ste 1
Pinellas Park, FL 33781-3328

Mailing address

5580 Park Blvd N Ste 1
Pinellas Park, FL 33781-3328
Phone (727) 385-0052

National Provider Directory

National Provider Directory

Locations

5580 Park Blvd N
Ste 1
Pinellas Park, FL 33781
Phone (727) 385-0052

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1346725140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 PARK BLVD N STE 1",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813328",
            "telephone_number": "727-385-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 PARK BLVD N STE 1",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813328",
            "telephone_number": "727-385-0052",
            "fax_number": "727-914-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHANCORE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "727-385-0052",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.