Organization Active NPI

King Chiropractic LLC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1467039362
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KING CHIROPRACTIC LLC
Practice address
2309 W Dr Martin Luther King Jr Blvd Ste 5
Tampa, FL 33607-6439
Phone
(813) 624-6947
Fax
(214) 975-2270
NPI assigned
Mar 26, 2021
Last updated
Mar 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Frank Gray III
Title
Director
Phone
(844) 212-5321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

2309 W Dr Martin Luther King Jr Blvd Ste 5
Tampa, FL 33607-6439

Mailing address

2309 W Dr Martin Luther King Jr Blvd Ste 5
Tampa, FL 33607-6439
Phone (813) 624-6947

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1467039362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 W DR MARTIN LUTHER KING JR BLVD STE 5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076439",
            "telephone_number": "813-624-6947",
            "fax_number": "813-930-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W DR MARTIN LUTHER KING JR BLVD STE 5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076439",
            "telephone_number": "813-624-6947",
            "fax_number": "214-975-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "844-212-5321",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.