Organization Active NPI

Canuel Chiropractic & Massage, Inc

Doing business as Canuel Chiropractic & Wellness Center

  • Chiropractor
  • W Melbourne, FL
National Provider Identifier
1427341973
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8309 Issued in FL
Legal business name
CANUEL CHIROPRACTIC & MASSAGE, INC
Doing business as
Canuel Chiropractic & Wellness Center
Practice address
1070 S Wickham Rd
W Melbourne, FL 32904-1653
Phone
(321) 499-4608
Fax
(321) 499-4607
NPI assigned
May 17, 2011
Last updated
Feb 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Ms. Wendy Canuel
Title
Director Clinic Operations
Phone
(321) 499-4608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8309 FL Primary

Addresses

Primary practice location

1070 S Wickham Rd
W Melbourne, FL 32904-1653

Mailing address

1070 S Wickham Rd
W Melbourne, FL 32904-1653
Phone (321) 499-4608

Other names 1

  • Canuel Chiropractic & Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110728000524 FL Part B Supplier - Clinic/Group Practice 3870761273 Receives reassigned benefits from 1 practitioner
Practice locations: Daytona Beach, FL

National Provider Directory

National Provider Directory

Locations

7331 Office Park Pl
Ste 400
Viera, FL 32940
Phone (321) 751-2333

1070 S Wickham Rd
West Melbourne, FL 32904
Phone (321) 499-4608

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1427341973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 S WICKHAM RD",
            "city": "W MELBOURNE",
            "state": "FL",
            "postal_code": "329041653",
            "telephone_number": "321-499-4608",
            "fax_number": "321-499-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 S WICKHAM RD",
            "city": "W MELBOURNE",
            "state": "FL",
            "postal_code": "329041653",
            "telephone_number": "321-499-4608",
            "fax_number": "321-499-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANUEL CHIROPRACTIC & MASSAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "CANUEL",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "DIRECTOR CLINIC OPERATIONS",
        "authorized_official_telephone_number": "321-499-4608",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canuel Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in W Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.