Organization Active NPI

Dove Chiropractic Medicine, Inc.

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1417401092
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10036 Issued in FL
Legal business name
DOVE CHIROPRACTIC MEDICINE, INC.
Practice address
360 6TH St S
St Petersburg, FL 33701-4449
Phone
(727) 902-5485
NPI assigned
Aug 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Authorized official

Name
Dr. Faye Jessica-Maurine Golden, DC
Title
Ceo
Phone
(727) 902-5485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH10036 FL Primary

Addresses

Primary practice location

360 6TH St S
St Petersburg, FL 33701-4449

Mailing address

360 6TH St S
St Petersburg, FL 33701-4449
Phone (727) 902-5485

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1417401092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014449",
            "telephone_number": "727-902-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014449",
            "telephone_number": "727-902-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE CHIROPRACTIC MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "FAYE",
        "authorized_official_middle_name": "JESSICA-MAURINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-902-5485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.