Coastal Chiropractic Palm Harbor LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 6488 Issued in FL

Legal business name

COASTAL CHIROPRACTIC PALM HARBOR LLC

Doing business as

Coastal Chiropractic

Practice address

2196 Main St Ste a
Dunedin, FL 34698-5650

Phone

(727) 733-1601

NPI assigned

Jun 18, 2013

Last updated

Jun 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Drew Kycynka, DCNPI 1629178827

Title

President

Phone

(727) 733-1601

Specialties & licenses 1

Addresses

Other names 1

• Coastal Chiropractic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Drew David Kycynka, D.C.

  • Chiropractor
  • Spring Hill, FL
  • NPI 1629178827
  NPD (past) Authorized official

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1609215169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2196 MAIN ST STE A",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2196 MAIN ST STE A",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985650",
            "telephone_number": "727-733-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CHIROPRACTIC PALM HARBOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "KYCYNKA",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-733-1601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 6488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele B Cleary, RD
• Terrance Clemans
• Clinicare Diagnostics, Inc. (Clinicare Diagnostic Medical Services)
• Coast Florida P.a. (Coast Dental-Dunedin)
• Coastal Cardiology, PA
• Coastal Chiropractic Tampa Bay LLC (Coastal Chiropractic)
• Coastal Pinellas Behavioral Health
• Coastline Emergency Physicians LLC
• Samantha Kelly Coates, APRN
• Stephanie R. Coates, O.D.

• Chiropractor in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.