San Jose Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10413 Issued in FL

Legal business name

SAN JOSE CHIROPRACTIC, LLC

Practice address

2950 Halcyon LN Ste 201
Jacksonville, FL 32223-6690

Phone

(904) 683-4476

Fax

(904) 458-8994

NPI assigned

Feb 9, 2015

Last updated

Apr 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thuraia Owais, D.C.NPI 1093092306

Title

Owner

Phone

(904) 683-4476

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thuraia Tayer Owais, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1093092306
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1396136610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD",
            "address_2": "SUITE 512",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238628",
            "telephone_number": "904-683-4476",
            "fax_number": "904-458-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 HALCYON LN STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236690",
            "telephone_number": "904-683-4476",
            "fax_number": "904-458-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "OWAIS",
        "authorized_official_first_name": "THURAIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-683-4476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaaliyah Samuels
• Sonya N Samuels, L.M.T.
• Hazem Mahmoud Samy, MD
• San Jose Aspen PLLC
• San Jose Blvd Opco LLC (Aviata at San Jose)
• San Jose Clinic, P.a.
• San Jose Family Denistry
• San Jose Imaging Center LLC (Innovative Imaging Jacksonville)
• San Jose Therapy Services LLC
• San Juan Dentistry PA

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.