Organization Active NPI

Altman Chiropractic P.a.

  • Chiropractor
  • Wauchula, FL
National Provider Identifier
1477595817
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7677 Issued in FL
Legal business name
ALTMAN CHIROPRACTIC P.A.
Practice address
431 Carlton St
Wauchula, FL 33873-3400
Phone
(863) 767-1019
Fax
(863) 767-1023
NPI assigned
Jun 11, 2006
Last updated
Feb 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Dr. James G Altman, D.C.NPI 1891758108
Title
President
Phone
(863) 767-1019

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 CH7677 FL Primary

Addresses

Primary practice location

431 Carlton St
Wauchula, FL 33873-3400

Mailing address

431 Carlton St
Wauchula, FL 33873-3400
Phone (863) 767-1019

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031211001014 FL Part B Supplier - Clinic/Group Practice 7618873381 Receives reassigned benefits from 1 practitioner
Practice locations: Wauchula, FL

National Provider Directory

National Provider Directory

Locations

910 S 6th Ave
Wauchula, FL 33873
Phone (863) 767-1019

Practitioners & affiliated clinicians

Practitioners 1

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1477595817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 CARLTON ST",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733400",
            "telephone_number": "863-767-1019",
            "fax_number": "863-767-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 CARLTON ST",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733400",
            "telephone_number": "863-767-1019",
            "fax_number": "863-767-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTMAN CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-767-1019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauchula, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.