Spinewell Disc & Joint Centers LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012784 Issued in NY

Legal business name

SPINEWELL DISC & JOINT CENTERS LLC

Practice address

1400 Marsh Landing Pkwy Ste 107
Jacksonville Beach, FL 32250-2492

Phone

(904) 644-3472

NPI assigned

Jul 5, 2018

Organization subpart

No

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

Authorized official

Name

Matthew L GlassNPI 1528310877

Title

President

Phone

(904) 644-3472

Specialties & licenses 1

Addresses

Other names 1

• Disc Centers of America - Ponte Vedra Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Matthew L Glass, D.C

  • Chiropractor
  • Jacksonville Beach, FL
  • NPI 1528310877
  Medicare reassignment Authorized official
• Konstantinos Tsakalos, DC

  • Chiropractor
  • New York, NY
  • NPI 1518603687
  NPD

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1447746219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MARSH LANDING PKWY STE 107",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502492",
            "telephone_number": "904-644-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MARSH LANDING PKWY STE 107",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502492",
            "telephone_number": "904-644-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINEWELL DISC & JOINT CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-644-3472"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Disc Centers of America - Ponte Vedra",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeastern Medequip, Inc.
• Southern Baptist Hospital
• Mary Eileen Southwick Jones, LCSW
• Tayler Spang, PT, DPT
• Trudie R Spencer, LPTA
• SS Fusion Medical, Inc.
• Kim St Clair Seals
• Grace Stec
• Lorri Steinemann, MS, CCC-SLP
• Stephanie S Billman, LPC, PC

• Chiropractor in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.