Organization Active NPI

Chiropractic Solutions of Gainesville Inc

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1386966885
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9069 Issued in FL
Legal business name
CHIROPRACTIC SOLUTIONS OF GAINESVILLE INC
Practice address
2727 NW 43Rd St
Suite 7B
Gainesville, FL 32606-6632
Phone
(352) 872-5095
Fax
(352) 872-5097
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Authorized official

Name
Dr. Shannon Michiyo Rudolph, D.C.NPI 1548313711
Title
Vice President/Owner
Phone
(352) 872-5095

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9069 FL Primary

Addresses

Primary practice location

2727 NW 43Rd St
Suite 7B
Gainesville, FL 32606-6632

Mailing address

2727 NW 43Rd St
Suite 7B
Gainesville, FL 32606-6632
Phone (352) 872-5095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100614000430 FL Part B Supplier - Clinic/Group Practice 2264562586 Receives reassigned benefits from 2 practitioners
Practice locations: Gainesville, FL

National Provider Directory

National Provider Directory

Locations

2216 NW 40th Ter
Ste B
Gainesville, FL 32605
Phone (352) 376-1288

2727 NW 43rd St
Ste 7B
Gainesville, FL 32606
Phone (352) 872-5095

Practitioners & affiliated clinicians

Practitioners 2

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": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1386966885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 NW 43RD ST",
            "address_2": "SUITE 7B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066632",
            "telephone_number": "352-872-5095",
            "fax_number": "352-872-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 NW 43RD ST",
            "address_2": "SUITE 7B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066632",
            "telephone_number": "352-872-5095",
            "fax_number": "352-872-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SOLUTIONS OF GAINESVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MICHIYO",
        "authorized_official_title_or_position": "VICE PRESIDENT/OWNER",
        "authorized_official_telephone_number": "352-872-5095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.