Organization Active NPI

Ocean Chiropractic & Health Center, Inc.

  • Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1407929557
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8947 Issued in FL
Legal business name
OCEAN CHIROPRACTIC & HEALTH CENTER, INC.
Practice address
805 Virginia Ave Ste 10
Fort Pierce, FL 34982-5881
Phone
(772) 460-9000
Fax
(772) 460-6697
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Mr. John Bradley Deiner, DCNPI 1386746428
Title
President
Phone
(772) 460-9000

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 CH8947 FL Primary

Addresses

Primary practice location

805 Virginia Ave Ste 10
Fort Pierce, FL 34982-5881

Mailing address

805 Virginia Ave Ste 10
Fort Pierce, FL 34982-5881
Phone (772) 460-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050308000797 FL Part B Supplier - Clinic/Group Practice 8527012020 Receives reassigned benefits from 4 practitioners
Practice locations: Fort Pierce, FL; Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

805 Virginia Ave
Ste 10
Fort Pierce, FL 34982
Phone (561) 972-4645

805 Virginia Ave
Ste 11
Fort Pierce, FL 34982
Phone (772) 460-9000

725 Commerce Center Dr
Ste D
Sebastian, FL 32958

73 SW Flagler Ave
Stuart, FL 34994
Phone (772) 240-1187

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1407929557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 VIRGINIA AVE STE 10",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825881",
            "telephone_number": "772-460-9000",
            "fax_number": "772-460-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 VIRGINIA AVE STE 10",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825881",
            "telephone_number": "772-460-9000",
            "fax_number": "772-460-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN CHIROPRACTIC & HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "DEINER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-460-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.