NPIMap

Organization Active NPI

Accident Care Chiropractic & Holistic Medicine, Inc.

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1467678284
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5444 Issued in FL
Legal business name
ACCIDENT CARE CHIROPRACTIC & HOLISTIC MEDICINE, INC.
Practice address
1205 Monument Rd
Suite 301
Jacksonville, FL 32225-7406
Phone
(904) 725-6007
Fax
(904) 725-6009
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Joyce Tucker
Title
Billing Manager
Phone
(904) 272-3440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH5444 FL Primary

Addresses

Primary practice location

1205 Monument Rd
Suite 301
Jacksonville, FL 32225-7406

Mailing address

1205 Monument Rd
Suite 301
Jacksonville, FL 32225-7406
Phone (904) 725-6007

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1467678284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 MONUMENT RD",
            "address_2": "SUITE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257406",
            "telephone_number": "904-725-6007",
            "fax_number": "904-725-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 MONUMENT RD",
            "address_2": "SUITE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257406",
            "telephone_number": "904-725-6007",
            "fax_number": "904-725-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT CARE CHIROPRACTIC & HOLISTIC MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "904-272-3440"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5444",
            "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 May 13, 2009; 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.