NPIMap

Organization Active NPI

Comprehensive Chiropractic of Winter Haven, LLC

  • Chiropractor
  • Winter Haven, FL
National Provider Identifier
1356528137
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006093 Issued in FL
Legal business name
COMPREHENSIVE CHIROPRACTIC OF WINTER HAVEN, LLC
Practice address
570 Avenue J SE
Winter Haven, FL 33880-3709
Phone
(863) 293-2570
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Dr. Bruce L Thomas, D.C.
Title
Manager
Phone
(813) 244-9164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0006093 FL Primary

Addresses

Primary practice location

570 Avenue J SE
Winter Haven, FL 33880-3709

Mailing address

570 Avenue J SE
Winter Haven, FL 33880-3709
Phone (863) 293-2570

Other identifiers 1

IdentifierTypeStateIssuer
U33750OtherFLUPIN

National Provider Directory

National Provider Directory

Locations

570 Avenue J SE
Winter Haven, FL 33880
Phone (863) 293-2570

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1356528137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 AVENUE J SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803709",
            "telephone_number": "863-293-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 AVENUE J SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803709",
            "telephone_number": "863-293-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CHIROPRACTIC OF WINTER HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-244-9164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U33750",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.