Organization Active NPI

McClure Family and Sports Chiropractic LLC

  • Chiropractor
  • Land O Lakes, FL
National Provider Identifier
1427659366
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MCCLURE FAMILY AND SPORTS CHIROPRACTIC LLC
Practice address
5420 Land O Lakes Blvd Ste 105
Land O Lakes, FL 34639-3401
Phone
(813) 996-9800
Fax
(813) 996-3326
NPI assigned
Nov 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Lori R Rivera
Title
Office Manager
Phone
(813) 996-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5420 Land O Lakes Blvd Ste 105
Land O Lakes, FL 34639-3401

Mailing address

5420 Land O Lakes Blvd Ste 105
Land O Lakes, FL 34639-3401
Phone (813) 996-9800

Other names 1

  • craven chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210311001796 FL Part B Supplier - Clinic/Group Practice 0941616254 Receives reassigned benefits from 2 practitioners
Practice locations: Land O Lakes, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1427659366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 LAND O LAKES BLVD STE 105",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346393401",
            "telephone_number": "813-996-9800",
            "fax_number": "813-996-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 LAND O LAKES BLVD STE 105",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346393401",
            "telephone_number": "813-996-9800",
            "fax_number": "813-996-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLURE FAMILY AND SPORTS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2021-02-11",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-996-9800"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "craven chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "craven chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.