Gordon Family Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9576 Issued in FL

Legal business name

GORDON FAMILY CHIROPRACTIC INC

Practice address

228 Ponte Vedra Park Dr
Suite 800
Ponte Vedra, FL 32082-6613

Phone

(904) 418-3937

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Wayne Gordon, DCNPI 1003952573

Title

Manager

Phone

(904) 418-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wayne Gordon, D.C.

  • Chiropractor
  • Ponte Vedra Beach, FL
  • NPI 1003952573
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1508304783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PONTE VEDRA PARK DR",
            "address_2": "SUITE 800",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320826613",
            "telephone_number": "904-418-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 PONTE VEDRA PARK DR",
            "address_2": "SUITE 800",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320826613",
            "telephone_number": "904-418-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-418-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Keith Galer, MS, LMFT
• Nolan Gallagher, DC
• Jessica Goldman, OTD, OTR/L
• Melissa Gonzalez Herrera
• Joselyne Anneth Gonzalez
• Samantha Gottlieb
• Kelly Gracek, M.A., CCC-SLP
• Melinda Faye Greenfield, DO
• Joseph C. Greenhaw, M.D.
• Amy D. Greenwald, M.D.

• Chiropractor in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.