Organization Active NPI

S and S United 'LLC'

Doing business as American Chiropractic and Spinal Decompression Center

  • Chiropractor
  • Palm Coast, FL
National Provider Identifier
1366611378
Registry record updated Feb 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9393 Issued in FL
Legal business name
S AND S UNITED 'LLC'
Doing business as
American Chiropractic and Spinal Decompression Center
Practice address
4869 Palm Coast Pkwy NW
Suite #1
Palm Coast, FL 32137-3661
Phone
(386) 597-4915
Fax
(386) 597-4953
NPI assigned
Feb 23, 2008
Last updated
Feb 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2008

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

Authorized official

Name
Dr. Adam William Sergent, D.C.
Title
MGR
Phone
(386) 597-4915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 9393 FL Primary

Addresses

Primary practice location

4869 Palm Coast Pkwy NW
Suite #1
Palm Coast, FL 32137-3661

Mailing address

4869 Palm Coast Pkwy NW
Suite #1
Palm Coast, FL 32137-3661
Phone (386) 597-4915

Other names 1

  • American Chiropractic and Spinal Decompression Center Doing business as

National Provider Directory

National Provider Directory

Locations

4869 Palm Coast Pkwy NW
Unit 1
Palm Coast, FL 32137
Phone (386) 597-4915

NPI Registry JSON

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

{
    "created_epoch": "1203724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203724800000",
    "number": "1366611378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4869 PALM COAST PKWY NW",
            "address_2": "SUITE #1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373661",
            "telephone_number": "386-597-4915",
            "fax_number": "386-597-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4869 PALM COAST PKWY NW",
            "address_2": "SUITE #1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373661",
            "telephone_number": "386-597-4915",
            "fax_number": "386-597-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S AND S UNITED 'LLC'",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-23",
        "last_updated": "2008-02-23",
        "status": "A",
        "authorized_official_last_name": "SERGENT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "386-597-4915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Chiropractic and Spinal Decompression Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

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