Organization Active NPI

Joint Venture Chiropractic & Wellness LLC

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1588092852
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10277 Issued in FL
Legal business name
JOINT VENTURE CHIROPRACTIC & WELLNESS LLC
Practice address
410 W Nine Mile Rd
Suite C
Pensacola, FL 32534-1820
Phone
(850) 471-0000
Fax
(850) 471-0012
NPI assigned
Oct 24, 2013
Organization subpart
Yes
Parent organization
DR. VICKI LEE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Dr. Kaitlin Margaret Ross, D.C.NPI 1902105455
Title
Chiropractic Physician
Phone
(850) 450-0739

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 CH10277 FL Primary

Addresses

Primary practice location

410 W Nine Mile Rd
Suite C
Pensacola, FL 32534-1820

Mailing address

410 W Nine Mile Rd
Suite C
Pensacola, FL 32534-1820
Phone (850) 471-0000

Other names 1

  • Chiropractic Solutions of Pensacola Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131231001649 FL Part B Supplier - Clinic/Group Practice 7618105321 Receives reassigned benefits from 1 practitioner
Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory
Part of
Dr Vicki Lee LLC

Locations

2475 E Nine Mile Rd
Ste I
Pensacola, FL 32514
Phone (850) 791-6222

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1588092852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W NINE MILE RD",
            "address_2": "SUITE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325341820",
            "telephone_number": "850-471-0000",
            "fax_number": "850-471-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W NINE MILE RD",
            "address_2": "SUITE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325341820",
            "telephone_number": "850-471-0000",
            "fax_number": "850-471-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT VENTURE CHIROPRACTIC & WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. VICKI LEE LLC",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "850-450-0739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Solutions of Pensacola",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.