Crack It Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6422 Issued in FL

Legal business name

CRACK IT CHIROPRACTIC LLC

Practice address

531 Tamiami TRL
Unit 5
Port Charlotte, FL 33953-2199

Phone

(941) 650-9453

NPI assigned

Apr 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. James R Van Winkle, D.C.

Title

Doctor/Owner

Phone

(941) 650-9453

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1528384880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1196 JONAH DR",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899492",
            "telephone_number": "941-650-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 TAMIAMI TRL",
            "address_2": "UNIT 5",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339532199",
            "telephone_number": "941-650-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRACK IT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "VAN WINKLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "941-650-9453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "6422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.