NPIMap

Organization Active NPI

Charles D Martin Jr DC PA

Doing business as Coastal Chiropractic Clinic

  • Chiropractor
  • Edgewater, FL
National Provider Identifier
1487749297
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10437 Issued in FL
Legal business name
CHARLES D MARTIN JR DC PA
Doing business as
Coastal Chiropractic Clinic
Practice address
2568 S Ridgewood Ave
Ste 5
Edgewater, FL 32141-5980
Phone
(386) 427-8403
Fax
(386) 427-8410
NPI assigned
Oct 4, 2006
Last updated
Feb 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Dr. Timothy M Steflik, DCNPI 1285919456
Title
President Owner
Phone
(386) 427-8403

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
Chiropractor 111N00000X CH10437 FL Primary

Addresses

Primary practice location

2568 S Ridgewood Ave
Ste 5
Edgewater, FL 32141-5980

Mailing address

2568 S Ridgewood Ave
Ste 5
Edgewater, FL 32141-5980
Phone (386) 427-8403

Other names 1

  • COASTAL CHIROPRACTIC CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

2568 S Ridgewood Ave
Ste 5
Edgewater, FL 32141
Phone (386) 427-8403

315 N Ridgewood Ave
Edgewater, FL 32132
Phone (386) 427-8403

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1487749297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 S RIDGEWOOD AVE",
            "address_2": "STE 5",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321415980",
            "telephone_number": "386-427-8403",
            "fax_number": "386-427-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2568 S RIDGEWOOD AVE",
            "address_2": "STE 5",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321415980",
            "telephone_number": "386-427-8403",
            "fax_number": "386-427-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES D MARTIN JR DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "STEFLIK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "386-427-8403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COASTAL CHIROPRACTIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edgewater, FL

Sources for this page

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