Organization Active NPI

Foland Chiropractic & Spa, Inc.

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1598992240
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8793 Issued in FL
Legal business name
FOLAND CHIROPRACTIC & SPA, INC.
Practice address
12428 San Jose Blvd
Suite 2
Jacksonville, FL 32223-8616
Phone
(904) 288-8993
Fax
(904) 288-8995
NPI assigned
Jun 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Dr. William Stephen Foland, D.C.NPI 1811089501
Title
Chiropractor
Phone
(904) 288-8993

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 8793 FL Primary

Addresses

Primary practice location

12428 San Jose Blvd
Suite 2
Jacksonville, FL 32223-8616

Mailing address

12428 San Jose Blvd
Suite 2
Jacksonville, FL 32223-8616
Phone (904) 288-8993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090826000606 FL Part B Supplier - Clinic/Group Practice 5496800575 Receives reassigned benefits from 4 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

11363 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 288-8993

12428 San Jose Blvd
Ste 2
Jacksonville, FL 32223
Phone (904) 288-8993

Practitioners & affiliated clinicians

Practitioners 5

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": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1598992240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12428 SAN JOSE BLVD",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238616",
            "telephone_number": "904-288-8993",
            "fax_number": "904-288-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12428 SAN JOSE BLVD",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238616",
            "telephone_number": "904-288-8993",
            "fax_number": "904-288-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLAND CHIROPRACTIC & SPA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "FOLAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "904-288-8993",
        "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 8793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.