Active NPI
Dove Chiropractic Medicine, Inc.
- Chiropractor
- St Petersburg, FL
National Provider Identifier
1417401092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10036
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryNPI 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.