Organization Active NPI

Chiropractic Associates of Alachua, P.a.

  • Chiropractor
  • Alachua, FL
National Provider Identifier
1548324239
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MM 14133 Issued in FL
Legal business name
CHIROPRACTIC ASSOCIATES OF ALACHUA, P.A.
Practice address
15043 Main St.
Alachua, FL 32615
Phone
(386) 462-5886
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Dr. Jason T Powell, D.C.NPI 1043285919
Title
Owner
Phone
(386) 462-5886

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 MM 14133 FL Primary

Addresses

Primary practice location

15043 Main St.
Alachua, FL 32615

Mailing address

15043 Main St.
Alachua, FL 32615
Phone (386) 462-5886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070420000098 FL Part B Supplier - Clinic/Group Practice 2860597887 Receives reassigned benefits from 2 practitioners
Practice locations: Alachua, FL

National Provider Directory

National Provider Directory

Locations

15043 Main St
Alachua, FL 32615
Phone (386) 462-5886

15551 NW US Highway 441
Unit 60
Alachua, FL 32615
Phone (386) 462-5886

Practitioners & affiliated clinicians

Practitioners 5

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1548324239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15043 MAIN ST.",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "32615",
            "telephone_number": "386-462-5886",
            "fax_number": "386-462-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15043 MAIN ST.",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "32615",
            "telephone_number": "386-462-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC ASSOCIATES OF ALACHUA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-462-5886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "MM 14133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alachua, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.