Organization Active NPI

Suncoast Chiropractic Wellness Centers PA

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1619087947
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8891 Issued in FL
Legal business name
SUNCOAST CHIROPRACTIC WELLNESS CENTERS PA
Practice address
407 N Belcher Rd
Suite 4
Clearwater, FL 33765-2608
Phone
(727) 791-9355
Fax
(727) 724-9190
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Dr. Paul Eliseo Caputo, DCNPI 1740451764
Title
President Clinic Director
Phone
(727) 791-9355

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH8891 FL Primary

Addresses

Primary practice location

407 N Belcher Rd
Suite 4
Clearwater, FL 33765-2608

Mailing address

407 N Belcher Rd
Suite 4
Clearwater, FL 33765-2608
Phone (727) 791-9355

Other identifiers 1

IdentifierTypeStateIssuer
64166OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

407 N Belcher Rd
Ste 4
Clearwater, FL 33765
Phone (727) 791-9355

Practitioners & affiliated clinicians

Practitioners 6

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1619087947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N BELCHER RD",
            "address_2": "SUITE 4",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652608",
            "telephone_number": "727-791-9355",
            "fax_number": "727-724-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N BELCHER RD",
            "address_2": "SUITE 4",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652608",
            "telephone_number": "727-791-9355",
            "fax_number": "727-724-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST CHIROPRACTIC WELLNESS CENTERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "CAPUTO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ELISEO",
        "authorized_official_title_or_position": "PRESIDENT CLINIC DIRECTOR",
        "authorized_official_telephone_number": "727-791-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "64166",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.