St. Johns Chiropractic & Nutrition, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

CH9007 Issued in FL

Legal business name

ST. JOHNS CHIROPRACTIC & NUTRITION, LLC

Practice address

35 Knight Boxx Rd
Suite 3
Orange Park, FL 32065-8053

Phone

(904) 272-5855

Fax

(904) 272-5857

NPI assigned

Aug 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Randy L John, D.C.

Title

President

Phone

(904) 272-5855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1376977611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 KNIGHT BOXX RD",
            "address_2": "SUITE 3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658053",
            "telephone_number": "904-272-5855",
            "fax_number": "904-272-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 KNIGHT BOXX RD",
            "address_2": "SUITE 3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658053",
            "telephone_number": "904-272-5855",
            "fax_number": "904-272-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHNS CHIROPRACTIC & NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-272-5855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "CH9007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.