Organization Active NPI

Chiropractic Health and Wellness

Doing business as Foundation Chiropractic Clinics

  • Chiropractor
  • Jupiter, FL
National Provider Identifier
1619692704
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC HEALTH AND WELLNESS
Doing business as
Foundation Chiropractic Clinics
Practice address
10088 W Indiantown Rd
Ste B
Jupiter, FL 33478
Phone
(646) 463-4031
Fax
(561) 626-6733
NPI assigned
Oct 11, 2022
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Ella Kalantarov, DCNPI 1639573280
Title
Owner/Chiropractor
Phone
(646) 463-4031

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 Primary

Addresses

Primary practice location

10088 W Indiantown Rd
Ste B
Jupiter, FL 33478

Mailing address

6199 Riverwalk LN Unit 5
Jupiter, FL 33458-7906
Phone (646) 463-4031

Other names 1

  • FOUNDATION CHIROPRACTIC CLINICS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221227000176 FL Part B Supplier - Clinic/Group Practice 3274903844 Receives reassigned benefits from 1 practitioner
Practice locations: Juno Beach, FL; Jupiter, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1619692704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6199 RIVERWALK LN UNIT 5",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587906",
            "telephone_number": "646-463-4031",
            "fax_number": "561-626-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10088 W INDIANTOWN RD",
            "address_2": "STE B",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33478",
            "telephone_number": "646-463-4031",
            "fax_number": "561-626-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "KALANTAROV",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "646-463-4031",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOUNDATION CHIROPRACTIC CLINICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.