Organization Active NPI

Performance Chiropractic of Ormond Beach, LLC

  • Chiropractor
  • Ormond Beach, FL
National Provider Identifier
1518599190
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PERFORMANCE CHIROPRACTIC OF ORMOND BEACH, LLC
Practice address
50 S Yonge St Ste 4
Ormond Beach, FL 32174-6289
Phone
(732) 221-7707
NPI assigned
Feb 11, 2020
Last updated
Feb 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Dr. Michaelene Callahan, D.C.
Title
Owner
Phone
(732) 221-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

50 S Yonge St Ste 4
Ormond Beach, FL 32174-6289

Mailing address

141 Buckskin LN
Ormond Beach, FL 32174-8005
Phone (732) 221-7707

National Provider Directory

National Provider Directory

Locations

50 S Yonge St
Ste 4
Ormond Beach, FL 32174
Phone (386) 672-0720

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1518599190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 BUCKSKIN LN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748005",
            "telephone_number": "732-221-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S YONGE ST STE 4",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746289",
            "telephone_number": "732-221-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE CHIROPRACTIC OF ORMOND BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "MICHAELENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-221-7707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.