NPIMap

Organization Active NPI

Countryside Chiropractic Inc

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1396996963
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9354 Issued in FL
Legal business name
COUNTRYSIDE CHIROPRACTIC INC
Practice address
28469 US Highway 19 N
Suite 402
Clearwater, FL 33761-2512
Phone
(727) 723-3888
Fax
(727) 796-2888
NPI assigned
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Authorized official

Name
Dr. Giuseppe Giovatto Jr., D.C.
Title
Chiropractor
Phone
(727) 723-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9354 FL Primary

Addresses

Primary practice location

28469 US Highway 19 N
Suite 402
Clearwater, FL 33761-2512

Mailing address

28469 US Highway 19 N
Suite 402
Clearwater, FL 33761-2512
Phone (727) 723-3888

Other names 1

  • Countryside Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

28469 US Highway 19 N
Ste 402
Clearwater, FL 33761
Phone (727) 723-3888

28467 US Highway 19 N
Ste 302
Clearwater, FL 33761
Phone (727) 216-6929

Practitioners & affiliated clinicians

Practitioners 6

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": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1396996963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28469 US HIGHWAY 19 N",
            "address_2": "SUITE 402",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612512",
            "telephone_number": "727-723-3888",
            "fax_number": "727-796-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28469 US HIGHWAY 19 N",
            "address_2": "SUITE 402",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612512",
            "telephone_number": "727-723-3888",
            "fax_number": "727-796-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "GIOVATTO",
        "authorized_official_first_name": "GIUSEPPE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "727-723-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countryside Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.