Blue Angel Family Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BLUE ANGEL FAMILY CHIROPRACTIC PA

Practice address

5700 N Blue Angel Pkwy
Pensacola, FL 32526-1620

Phone

(850) 453-2211

Fax

(850) 453-3366

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Aaron Fontz, D.C.

Title

President

Phone

(850) 453-2211

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1588720106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N BLUE ANGEL PKWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325261620",
            "telephone_number": "850-453-2211",
            "fax_number": "850-453-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N BLUE ANGEL PKWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325261620",
            "telephone_number": "850-453-2211",
            "fax_number": "850-453-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ANGEL FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "FONTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-453-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "74785",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Pensacola, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.