Organization Active NPI

Slainte Chiropractic LLC

  • Chiropractor
  • Jacksonville Beach, FL
National Provider Identifier
1487194247
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12065 Issued in FL
Legal business name
SLAINTE CHIROPRACTIC LLC
Practice address
2370 3Rd St S Ste 1
Jacksonville Beach, FL 32250-4023
Phone
(904) 718-6330
NPI assigned
Feb 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Bridget Colleen Edkin, D.C.NPI 1598202335
Title
Owner
Phone
(904) 718-6330

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 CH12065 FL Primary

Addresses

Primary practice location

2370 3Rd St S Ste 1
Jacksonville Beach, FL 32250-4023

Mailing address

2370 3Rd St S Ste 1
Jacksonville Beach, FL 32250-4023
Phone (904) 718-6330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171104000187 FL Part B Supplier - Clinic/Group Practice 5991073546 Receives reassigned benefits from 3 practitioners
Practice locations: Jacksonville Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487194247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 3RD ST S STE 1",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504023",
            "telephone_number": "904-718-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 3RD ST S STE 1",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504023",
            "telephone_number": "904-718-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLAINTE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDKIN",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-718-6330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.