Organization Active NPI

Merritt Chiropractic Health and Wellnes

  • Chiropractor
  • Port Saint Lucie, FL
National Provider Identifier
1407104961
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7122 Issued in FL
Legal business name
MERRITT CHIROPRACTIC HEALTH AND WELLNES
Practice address
1680 SW Bayshore Blvd
Port Saint Lucie, FL 34984-3500
Phone
(772) 501-6671
NPI assigned
Aug 15, 2012
Last updated
Aug 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Robert Bruce Merritt, D.C.
Title
President
Phone
(772) 501-6671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7122 FL Primary

Addresses

Primary practice location

1680 SW Bayshore Blvd
Port Saint Lucie, FL 34984-3500

Mailing address

1680 SW Bayshore Blvd
Port Saint Lucie, FL 34984-3500
Phone (772) 501-6671

Other identifiers 1

IdentifierTypeStateIssuer
53867OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

1680 SW Bayshore Blvd
Port St Lucie, FL 34984
Phone (772) 501-6671

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1407104961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 SW BAYSHORE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349843500",
            "telephone_number": "772-501-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 SW BAYSHORE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349843500",
            "telephone_number": "772-501-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT CHIROPRACTIC HEALTH AND WELLNES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-501-6671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53867",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.