NPIMap

Organization Active NPI

Four Corners Chiropractic Centers PA

  • Chiropractor
  • Clermont, FL
National Provider Identifier
1619963147
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8554 Issued in FL
Legal business name
FOUR CORNERS CHIROPRACTIC CENTERS PA
Practice address
1050 US Highway 27
Suite 7
Clermont, FL 34714-7508
Phone
(352) 394-7771
Fax
(352) 394-7784
NPI assigned
Sep 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott David Barnhart, DC
Title
President/Owner/Chiropractor
Phone
(352) 394-7771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8554 FL Primary

Addresses

Primary practice location

1050 US Highway 27
Suite 7
Clermont, FL 34714-7508

Mailing address

PO Box 135818
Clermont, FL 34713-5818
Phone (352) 394-7771

Other identifiers 1

IdentifierTypeStateIssuer
89280OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

1050 US Highway 27
Ste 7
Clermont, FL 34714
Phone (352) 394-7771

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619963147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 135818",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347135818",
            "telephone_number": "352-394-7771",
            "fax_number": "352-394-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 US HIGHWAY 27",
            "address_2": "SUITE 7",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347147508",
            "telephone_number": "352-394-7771",
            "fax_number": "352-394-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS CHIROPRACTIC CENTERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARNHART",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "352-394-7771",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89280",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.