Family Chiropractic Health Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC166 Issued in FL

Legal business name

FAMILY CHIROPRACTIC HEALTH CENTER

Practice address

2027 E Edgewood Dr
Lakeland, FL 33803-3601

Phone

(863) 665-9597

Fax

(863) 665-1588

NPI assigned

Dec 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mabbett King Reckord III, DCNPI 1629121173

Title

President

Phone

(863) 665-9597

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Family Chiropractic Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Chiropractic Health Center

  • Chiropractor
  • Lakeland, FL
  • NPI 1609279124
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mabbett King Reckord, D.C.

  • Chiropractor
  • Lakeland, FL
  • NPI 1629121173
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1548539018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 E EDGEWOOD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033601",
            "telephone_number": "863-665-9597",
            "fax_number": "863-665-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 E EDGEWOOD DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033601",
            "telephone_number": "863-665-9597",
            "fax_number": "863-665-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "RECKORD",
        "authorized_official_first_name": "MABBETT",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-665-9597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380014800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olukemi O. Fajolu, M.D.
• Ashley Nichole Falco, OTR/L
• Melie Duneshka Falero Caballero
• Laura Marie Falla, DPT
• Families First of Florida, LLC
• Family Chiropractic Health Center
• Family Counseling of Lakeland, LLC
• Family Eye Center South LLC
• Family Life Counseling Center
• Family Psychological Services of Lakeland, LLC

• Clinic/Center in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.