Organization Active NPI

Chinault Family Chiropractic PL

  • Chiropractor
  • Bartow, FL
National Provider Identifier
1366753378
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9693 Issued in FL
Legal business name
CHINAULT FAMILY CHIROPRACTIC PL
Practice address
1335 US Highway 17 S
Bartow, FL 33830-6626
Phone
(863) 804-0000
NPI assigned
Jun 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Dr. Rebecca Chinault, DC
Title
Owner
Phone
(863) 804-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9693 FL Primary

Addresses

Primary practice location

1335 US Highway 17 S
Bartow, FL 33830-6626

Mailing address

1335 US Highway 17 S
Bartow, FL 33830-6626
Phone (863) 804-0000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100727000182 FL Part B Supplier - Clinic/Group Practice 0345373478 Receives reassigned benefits from 1 practitioner
Practice locations: Bartow, FL

National Provider Directory

National Provider Directory

Locations

1335 US Highway 17 S
Bartow, FL 33830
Phone (863) 804-0000

Practitioners & affiliated clinicians

Practitioners 1

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": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1366753378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 US HIGHWAY 17 S",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306626",
            "telephone_number": "863-804-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 US HIGHWAY 17 S",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306626",
            "telephone_number": "863-804-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINAULT FAMILY CHIROPRACTIC PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "CHINAULT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-804-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.