Organization Active NPI

Florida Chiropractic Clinics Inc

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1588844153
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8471 Issued in FL
Legal business name
FLORIDA CHIROPRACTIC CLINICS INC
Practice address
5290 Seminole Blvd
Suite a & B
St Petersburg, FL 33708-3369
Phone
(727) 398-2988
Fax
(727) 398-5025
NPI assigned
Nov 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Dr. Gregory Alan Yingling, D.C.NPI 1831267160
Title
Owner
Phone
(727) 398-2988

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 CH 8471 FL Primary

Addresses

Primary practice location

5290 Seminole Blvd
Suite a & B
St Petersburg, FL 33708-3369

Mailing address

5290 Seminole Blvd
Suite a & B
St Petersburg, FL 33708-3369
Phone (727) 398-2988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120103000409 FL Part B Supplier - Clinic/Group Practice 7810163490 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

5290 Seminole Blvd
Ste Ab
St Petersburg, FL 33708
Phone (727) 345-7172

5290 Seminole Blvd
Ste A
St Petersburg, FL 33708
Phone (727) 398-2988

Practitioners & affiliated clinicians

Practitioners 2

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": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1588844153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 SEMINOLE BLVD",
            "address_2": "SUITE A & B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083369",
            "telephone_number": "727-398-2988",
            "fax_number": "727-398-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 SEMINOLE BLVD",
            "address_2": "SUITE A & B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083369",
            "telephone_number": "727-398-2988",
            "fax_number": "727-398-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CHIROPRACTIC CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "YINGLING",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-398-2988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.