Active NPI
Steele Chiropractic Center, Inc
- Chiropractor
- Live Oak, FL
National Provider Identifier
1427372093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH6379
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55218 | Other | FL | BLUE CROSS |
| 55218Z | Other | FL | BLUE CROSS (FL) |
| 380713400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.