Cocoa Chiropractic & Injury Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9957 Issued in FL

Legal business name

COCOA CHIROPRACTIC & INJURY CENTER, INC.

Doing business as

Cocoa Accident & Injury Center

Practice address

200 Willard St
Suite 1C
Cocoa, FL 32922-8001

Phone

(321) 735-9050

Fax

(321) 735-9429

NPI assigned

Apr 3, 2013

Last updated

Jan 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Jim Trastelis, DC

Title

Owner

Phone

(386) 847-7118

Specialties & licenses 1

Addresses

Other names 1

• Cocoa Accident & Injury Center Doing business as

Locations

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1467795831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6284 PARADISE ISLAND CT",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286962",
            "telephone_number": "386-847-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WILLARD ST",
            "address_2": "SUITE 1C",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329228001",
            "telephone_number": "321-735-9050",
            "fax_number": "321-735-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCOA CHIROPRACTIC & INJURY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "TRASTELIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-847-7118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cocoa Accident & Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.