Organization Active NPI

1Spine Chiropractic and Rehabilitation Oldsmar

  • Rehabilitation Chiropractor
  • Oldsmar, FL
National Provider Identifier
1477826840
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH8383 Issued in FL
Legal business name
1SPINE CHIROPRACTIC AND REHABILITATION OLDSMAR
Practice address
3687 Tampa Rd
Suite 202
Oldsmar, FL 34677-6307
Phone
(813) 220-0680
NPI assigned
Feb 16, 2012
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Dr. Noah Richard Daniel, DCNPI 1528156973
Title
Chiropractic Physician
Phone
(813) 220-0680

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
Rehabilitation Chiropractor 111NR0400X CH8383 FL Primary

Addresses

Primary practice location

3687 Tampa Rd
Suite 202
Oldsmar, FL 34677-6307

Mailing address

3687 Tampa Rd
Suite 202
Oldsmar, FL 34677-6307
Phone (813) 220-0680

National Provider Directory

National Provider Directory

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": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1477826840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3687 TAMPA RD",
            "address_2": "SUITE 202",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346776307",
            "telephone_number": "813-220-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3687 TAMPA RD",
            "address_2": "SUITE 202",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346776307",
            "telephone_number": "813-220-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1SPINE CHIROPRACTIC AND REHABILITATION OLDSMAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "NOAH",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "813-220-0680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH8383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.