NPIMap

Organization Active NPI

Advanced Chiropractic Nutrition Center, P.a.

  • Chiropractor
  • Neptune Beach, FL
National Provider Identifier
1629139159
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MM13448 Issued in FL
Legal business name
ADVANCED CHIROPRACTIC NUTRITION CENTER, P.A.
Practice address
440 3Rd St
Suite a
Neptune Beach, FL 32266-5111
Phone
(904) 249-5999
Fax
(904) 249-1768
NPI assigned
Dec 12, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Thomas A. Kiska, D.C., D.A.C.B.N.NPI 1215097787
Title
President
Phone
(904) 249-5999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MM13448 FL Primary

Addresses

Primary practice location

440 3Rd St
Suite a
Neptune Beach, FL 32266-5111

Mailing address

440 3Rd St
Suite a
Neptune Beach, FL 32266-5111
Phone (904) 249-5999

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1629139159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 3RD ST",
            "address_2": "SUITE A",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665111",
            "telephone_number": "904-249-5999",
            "fax_number": "904-249-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 3RD ST",
            "address_2": "SUITE A",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665111",
            "telephone_number": "904-249-5999",
            "fax_number": "904-249-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC NUTRITION CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KISKA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-249-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., D.A.C.B.N."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "MM13448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.