NPIMap

Organization Active NPI

Key West Chiropractic Inc.

  • Chiropractor
  • Key West, FL
National Provider Identifier
1477667129
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2917 Issued in FL
Legal business name
KEY WEST CHIROPRACTIC INC.
Practice address
1010 Kennedy Dr Ste 401
Key West, FL 33040-4134
Phone
(305) 296-5626
Fax
(305) 293-0010
NPI assigned
Aug 19, 2006
Last updated
May 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Dr. Debra Flynn, D.C.NPI 1023052313
Title
President/Owner
Phone
(305) 296-5626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH2917 FL Primary

Addresses

Primary practice location

1010 Kennedy Dr Ste 401
Key West, FL 33040-4134

Mailing address

1010 Kennedy Dr. Suite 401
Key West, FL 33040
Phone (305) 296-5626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070111000215 FL Part B Supplier - Clinic/Group Practice 0143228015 Receives reassigned benefits from 2 practitioners
Practice locations: Key West, FL

National Provider Directory

National Provider Directory

Locations

1010 Kennedy Dr
Ste 401
Key West, FL 33040
Phone (305) 293-5015

1200 White St
Key West, FL 33040
Phone (305) 296-5626

Practitioners & affiliated clinicians

Practitioners 3

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": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1477667129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 KENNEDY DR. SUITE 401",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "33040",
            "telephone_number": "305-296-5626",
            "fax_number": "305-293-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 KENNEDY DR STE 401",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404134",
            "telephone_number": "305-296-5626",
            "fax_number": "305-293-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY WEST CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-296-5626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.