Joseph a Mullanack DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9193 Issued in FL

Legal business name

JOSEPH A MULLANACK DC PA

Practice address

1406 S 25TH St
Fort Pierce, FL 34947-4706

Phone

(772) 464-3831

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Adam Mullanack, D.C.NPI 1508883513

Title

President

Phone

(772) 464-3831

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Joseph Adam Mullanack

  • Chiropractor
  • Fort Pierce, FL
  • NPI 1508883513
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1457565160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474706",
            "telephone_number": "772-464-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474706",
            "telephone_number": "772-464-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A MULLANACK DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "MULLANACK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-464-3831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Freeman Jones
• Jima L. Jones, TE AL PTR
• Paisley Jones
• Stephanie Jones, SLP
• Taria Jones
• Joseph J Katta MD PA
• Joseph J Katta MD, PA
• Candice Theodora Joseph, M.D
• Denise Angele Joseph, A.R.N.P.
• Pramod Joseph, MD

• Chiropractor in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.