Organization Active NPI

First Option Chiropractic LLC

  • Chiropractor
  • Venice, FL
National Provider Identifier
1467845644
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10483 Issued in FL
Legal business name
FIRST OPTION CHIROPRACTIC LLC
Practice address
1790 E Venice Ave
Suite 102
Venice, FL 34292-3191
Phone
(941) 486-8126
Fax
(941) 412-3599
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Dr. Elwira Ewa Kulawik, DCNPI 1659415321
Title
Owner
Phone
(941) 486-8126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10483 FL Primary

Addresses

Primary practice location

1790 E Venice Ave
Suite 102
Venice, FL 34292-3191

Mailing address

1790 E Venice Ave
Suite 102
Venice, FL 34292-3191
Phone (941) 486-8126

Other identifiers 1

IdentifierTypeStateIssuer
BB2346OtherDEPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160108000012 FL Part B Supplier - Clinic/Group Practice 2567764582 Receives reassigned benefits from 1 practitioner
Practice locations: Ellenton, FL; Venice, FL

National Provider Directory

National Provider Directory

Locations

903 25th Dr E
Ellenton, FL 34222
Phone (941) 412-4229

1939 S Tamiami Trl
Ste B
Venice, FL 34293
Phone (941) 412-4229

1939 S Tamiami Trl
Venice, FL 34293
Phone (253) 686-9708

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1467845644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 E VENICE AVE",
            "address_2": "SUITE 102",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923191",
            "telephone_number": "941-486-8126",
            "fax_number": "941-412-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E VENICE AVE",
            "address_2": "SUITE 102",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923191",
            "telephone_number": "941-486-8126",
            "fax_number": "941-412-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST OPTION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "KULAWIK",
        "authorized_official_first_name": "ELWIRA",
        "authorized_official_middle_name": "EWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-486-8126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "BB2346",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.