Organization Active NPI

Seaside Wellness Group LLC

  • Chiropractor
  • Hobe Sound, FL
National Provider Identifier
1508509779
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SEASIDE WELLNESS GROUP LLC
Practice address
5691 SE Crooked Oak Ave
Hobe Sound, FL 33455-8319
Phone
(772) 600-8159
Fax
(772) 600-8159
NPI assigned
Apr 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Dr. Alice Oakley, DCNPI 1326419169
Title
Owner
Phone
(772) 600-8159

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 Primary

Addresses

Primary practice location

5691 SE Crooked Oak Ave
Hobe Sound, FL 33455-8319

Mailing address

5691 SE Crooked Oak Ave
Hobe Sound, FL 33455-8319
Phone (772) 600-8159

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230218000305 FL Part B Supplier - Clinic/Group Practice 0042682106 Receives reassigned benefits from 1 practitioner
Practice locations: Hobe Sound, FL

National Provider Directory

National Provider Directory

Locations

5691 SE Crooked Oak Ave
Hobe Sound, FL 33455
Phone (727) 600-8159

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22313/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1508509779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5691 SE CROOKED OAK AVE",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334558319",
            "telephone_number": "772-600-8159",
            "fax_number": "772-600-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5691 SE CROOKED OAK AVE",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334558319",
            "telephone_number": "772-600-8159",
            "fax_number": "772-600-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "OAKLEY",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-600-8159",
        "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": []
}

Other providers in Hobe Sound, FL

Sources for this page

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