Organization Active NPI

Julington Creek Chiropractic & Wellness Center PA

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1477768166
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7904 Issued in FL
Legal business name
JULINGTON CREEK CHIROPRACTIC & WELLNESS CENTER PA
Practice address
465 State Road 13
Suite 11
Jacksonville, FL 32259-2989
Phone
(904) 230-0080
Fax
(904) 230-1040
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Dr. Thomas Frederick Lahmann, DCNPI 1003968033
Title
President
Phone
(904) 230-0080

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 CH7904 FL Primary

Addresses

Primary practice location

465 State Road 13
Suite 11
Jacksonville, FL 32259-2989

Mailing address

1820 State Road 13 N Ste 3
Jacksonville, FL 32259-8855
Phone (904) 230-0080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070625000243 FL Part B Supplier - Clinic/Group Practice 2466551940 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

465 State Road 13 N
Ste 11
Jacksonville, FL 32259
Phone (904) 230-0080

1820 State Road 13 N
Ste 3
Saint Johns, FL 32259
Phone (904) 230-0080

485 State Road 13 N
Ste 3
St Johns, FL 32259
Phone (904) 230-0080

Practitioners & affiliated clinicians

Practitioners 2

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1477768166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 STATE ROAD 13 N STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322598855",
            "telephone_number": "904-230-0080",
            "fax_number": "904-230-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 STATE ROAD 13",
            "address_2": "SUITE 11",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322592989",
            "telephone_number": "904-230-0080",
            "fax_number": "904-230-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULINGTON CREEK CHIROPRACTIC & WELLNESS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "LAHMANN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-230-0080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7904",
            "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 Jul 15, 2025; 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.