Vanderbeck Chiropractic Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH4206 Issued in FL

Legal business name

VANDERBECK CHIROPRACTIC CLINIC LLC

Practice address

2751 Tamiami TRL Ste C
Port Charlotte, FL 33952-5170

Phone

(941) 627-0095

Fax

(941) 629-1872

NPI assigned

Jun 2, 2010

Last updated

Jan 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Vanderbeck, D.C.

Title

Owner

Phone

(941) 627-0095

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1548580566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 TAMIAMI TRL STE C",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525170",
            "telephone_number": "941-627-0095",
            "fax_number": "941-629-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 TAMIAMI TRL STE C",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525170",
            "telephone_number": "941-627-0095",
            "fax_number": "941-629-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBECK CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "VANDERBECK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-627-0095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH4206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.