Beach Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BEACH CHIROPRACTIC CLINIC LLC

Practice address

2427 Thomas Dr
Panama City Beach, FL 32408-5808

Phone

(850) 234-2387

NPI assigned

Mar 15, 2022

Last updated

Mar 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Blake Pate, DCNPI 1801319249

Title

Chiropractor

Phone

(251) 227-2186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Blake Lemley Pate, D.C.

  • Chiropractor
  • Panama City Beach, FL
  • NPI 1801319249
  Medicare reassignment Care Compare group NPD Authorized official
• Andrew Wilson Townsend, DC

  • Chiropractor
  • Panama City, FL
  • NPI 1023870557
  Medicare reassignment Care Compare group NPD
• Mark Daniel White, DC

  • Chiropractor
  • Panama City, FL
  • NPI 1710080882
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1497403869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11427 E 110TH PL N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556688",
            "telephone_number": "251-227-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 THOMAS DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324085808",
            "telephone_number": "850-234-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "251-227-2186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josefina Maria Baluga, MD
• Bay Counseling & Wellness, LLC (Bay Wellness Group)
• Bay Orthopedics
• Bay Pharma of Florida Inc (Bay rx pharmacy)
• Bay Point Healthcare LLC
• Beach Medical Express LLC
• Beachcomber Retreat, LLC (Bridging the Gap Recovery)
• Beachtown Chiropractic Co., LLC
• Behavioral and Life Connections (B L C)
• Caroleen Nabeel Bejimi

• Chiropractor in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.