Organization Active NPI

Justin F Chance

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1548714710
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10666 Issued in FL
Legal business name
JUSTIN F CHANCE
Practice address
1240 NW 11TH Ave
Gainesville, FL 32601-4146
Phone
(352) 375-6972
Fax
(352) 377-6945
NPI assigned
Aug 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Kimberly :L Bonds
Title
Office Manager
Phone
(352) 375-6972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10666 FL Primary

Addresses

Primary practice location

1240 NW 11TH Ave
Gainesville, FL 32601-4146

Mailing address

1240 NW 11TH Ave
Gainesville, FL 32601-4146
Phone (352) 375-6972

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1548714710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 NW 11TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014146",
            "telephone_number": "352-375-6972",
            "fax_number": "352-377-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 NW 11TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014146",
            "telephone_number": "352-375-6972",
            "fax_number": "352-377-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN F CHANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "BONDS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": ":L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-375-6972"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.