Organization Active NPI

Dr. Cameron a. Stewart, D.C. LLC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1437517596
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11435 Issued in FL
Legal business name
DR. CAMERON A. STEWART, D.C. LLC
Practice address
9776 San Jose Blvd
Ste 3
Jacksonville, FL 32257-5464
Phone
(904) 615-6622
NPI assigned
Feb 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Dr. Cameron Alexander Stewart, D.C.
Title
Chief Managing Officer
Phone
(904) 615-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11435 FL Primary

Addresses

Primary practice location

9776 San Jose Blvd
Ste 3
Jacksonville, FL 32257-5464

Mailing address

9776 San Jose Blvd
Ste 3
Jacksonville, FL 32257-5464
Phone (904) 615-6622

Other names 1

  • Stewart Chiropractic JAX Doing business as

National Provider Directory

National Provider Directory

Locations

9776 San Jose Blvd
Ste 3
Jacksonville, FL 32257
Phone (904) 615-6622

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1437517596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9776 SAN JOSE BLVD",
            "address_2": "STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575464",
            "telephone_number": "904-615-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9776 SAN JOSE BLVD",
            "address_2": "STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575464",
            "telephone_number": "904-615-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CAMERON A. STEWART, D.C. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CHIEF MANAGING OFFICER",
        "authorized_official_telephone_number": "904-615-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stewart Chiropractic JAX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.