Organization Active NPI

Spinal Solutions Jax Inc

Doing business as Spinal Science

  • Rehabilitation Chiropractor
  • Jacksonville, FL
National Provider Identifier
1356099717
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
SPINAL SOLUTIONS JAX INC
Doing business as
Spinal Science
Practice address
2511 Saint Johns Bluff Rd S Ste 103
Jacksonville, FL 32246-2344
Phone
(904) 661-1125
NPI assigned
Mar 15, 2022
Last updated
Mar 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Authorized official

Name
Jacob Plotz, DCNPI 1114378973
Title
Ceo/President
Phone
(904) 307-5537

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
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

2511 Saint Johns Bluff Rd S Ste 103
Jacksonville, FL 32246-2344

Mailing address

2511 Saint Johns Bluff Rd S Ste 103
Jacksonville, FL 32246-2344

Other names 1

  • Spinal Science Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240102000955 FL Part B Supplier - Clinic/Group Practice 4486004504 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

2511 Saint Johns Bluff Rd S
Ste 103
Jacksonville, FL 32246
Phone (904) 661-1125

Practitioners & affiliated clinicians

Practitioners 2

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": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1356099717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 SAINT JOHNS BLUFF RD S STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322462344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 SAINT JOHNS BLUFF RD S STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322462344",
            "telephone_number": "904-661-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL SOLUTIONS JAX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "PLOTZ",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "904-307-5537",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal Science",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.