NPIMap

Organization Active NPI

Dr Leon Gonyo DC PA

Doing business as Stuart Family Chiropractic Center

  • Health Service Clinic/Center
  • Stuart, FL
National Provider Identifier
1538345657
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
9076 Issued in FL
Legal business name
DR LEON GONYO DC PA
Doing business as
Stuart Family Chiropractic Center
Practice address
6096 SE Federal Hwy
Stuart, FL 34997-8101
Phone
(772) 781-0193
Fax
(772) 781-0197
NPI assigned
Jan 18, 2008
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Leon D. Gonyo, D.C.NPI 1700924859
Title
President
Phone
(772) 781-0193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 9076 FL Primary

Addresses

Primary practice location

6096 SE Federal Hwy
Stuart, FL 34997-8101

Mailing address

6096 SE Federal Hwy
Stuart, FL 34997-8101
Phone (772) 781-0193

Other identifiers 1

IdentifierTypeStateIssuer
AI167OtherFLMEDICARE PTAN

Other names 1

  • Stuart Family Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

6094 SE Federal Hwy
Stuart, FL 34997
Phone (772) 219-4009

6096 SE Federal Hwy
Stuart, FL 34997
Phone (772) 781-0193

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1538345657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6096 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978101",
            "telephone_number": "772-781-0193",
            "fax_number": "772-781-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6096 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978101",
            "telephone_number": "772-781-0193",
            "fax_number": "772-781-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LEON GONYO DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "GONYO",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-781-0193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "9076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AI167",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stuart Family Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.