Organization Active NPI

Womack & Womack PA

  • Chiropractor
  • Palm Bay, FL
National Provider Identifier
1609067198
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0005439 Issued in FL
Legal business name
WOMACK & WOMACK PA
Doing business as
Womack Chiropractic Center
Practice address
1430 Palm Bay Rd NE
Suite C
Palm Bay, FL 32905-3829
Phone
(321) 723-2113
Fax
(321) 952-0848
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
Michael W Womack, DC
Title
Owner Doctor
Phone
(321) 723-2113

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH0005439 FL Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH0005440 FL

Addresses

Primary practice location

1430 Palm Bay Rd NE
Suite C
Palm Bay, FL 32905-3829

Mailing address

1430 Palm Bay Rd NE
Suite C
Palm Bay, FL 32905-3829
Phone (321) 723-2113

Other names 1

  • Womack Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

1430 Palm Bay Rd
Ste C
Palm Bay, FL 32905
Phone (321) 723-2113

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": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1609067198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 PALM BAY RD NE",
            "address_2": "SUITE C",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053829",
            "telephone_number": "321-723-2113",
            "fax_number": "321-952-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 PALM BAY RD NE",
            "address_2": "SUITE C",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053829",
            "telephone_number": "321-723-2113",
            "fax_number": "321-952-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMACK & WOMACK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "321-723-2113",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005439",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Womack Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.