Organization Active NPI

Steele Chiropractic Center, Inc

  • Chiropractor
  • Live Oak, FL
National Provider Identifier
1427372093
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6379 Issued in FL
Legal business name
STEELE CHIROPRACTIC CENTER, INC
Practice address
609 5TH Street S.W.
Suite 3
Live Oak, FL 32064
Phone
(386) 362-4112
Fax
(386) 208-0418
NPI assigned
Mar 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Constance Davenport Steele, D.C.
Title
Owner
Phone
(386) 362-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH6379 FL Primary

Addresses

Primary practice location

609 5TH Street S.W.
Suite 3
Live Oak, FL 32064

Mailing address

P.O. Box 487
Suite 3
Live Oak, FL 32064
Phone (386) 362-4112

Other identifiers 3

IdentifierTypeStateIssuer
55218OtherFLBLUE CROSS
55218ZOtherFLBLUE CROSS (FL)
380713400MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1427372093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 487",
            "address_2": "SUITE 3",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "32064",
            "telephone_number": "386-362-4112",
            "fax_number": "386-208-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 5TH STREET S.W.",
            "address_2": "SUITE 3",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "32064",
            "telephone_number": "386-362-4112",
            "fax_number": "386-208-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEELE CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "DAVENPORT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-362-4112",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "55218",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS (FL)",
            "identifier": "55218Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380713400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.