NPIMap

Organization Active NPI

River Hills Chiropractic Clinic Inc

  • Rehabilitation Chiropractor
  • Jacksonville, FL
National Provider Identifier
1447595889
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH5891 Issued in FL
Legal business name
RIVER HILLS CHIROPRACTIC CLINIC INC
Practice address
1807 University Blvd S
Jacksonville, FL 32216-8930
Phone
(904) 721-5464
Fax
(904) 721-5464
NPI assigned
Dec 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Dr. Ellan S Duke, DC
Title
Director
Phone
(904) 721-5464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X CH5891 FL Primary

Addresses

Primary practice location

1807 University Blvd S
Jacksonville, FL 32216-8930

Mailing address

1807 University Blvd S
Jacksonville, FL 32216-8930
Phone (904) 721-5464

National Provider Directory

National Provider Directory

Locations

1807 University Blvd S
Jacksonville, FL 32216
Phone (904) 721-5464

Practitioners & affiliated clinicians

Practitioners 3

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": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1447595889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168930",
            "telephone_number": "904-721-5464",
            "fax_number": "904-721-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168930",
            "telephone_number": "904-721-5464",
            "fax_number": "904-721-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER HILLS CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "ELLAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-721-5464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH5891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 11, 2012; 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.