Eley Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9724 Issued in FL

Legal business name

ELEY CHIROPRACTIC LLC

Practice address

687 Beville Rd Ste B
South Daytona, FL 32119-1970

Phone

(386) 675-6933

Fax

(386) 322-9808

NPI assigned

Jun 28, 2009

Last updated

Oct 31, 2011By 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. Patrick Eley, D.C.

Title

Owner, Doctor of Chiropractic

Phone

(386) 675-6933

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1619105756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 BEVILLE RD STE B",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191970",
            "telephone_number": "386-675-6933",
            "fax_number": "386-322-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 BEVILLE RD STE B",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191970",
            "telephone_number": "386-675-6933",
            "fax_number": "386-322-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-28",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "ELEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER, DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "386-675-6933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.