Organization Active NPI

Alterman & Johnson Family Chiropractors,PA

  • Pediatric Chiropractor
  • Jacksonville Beach, FL
National Provider Identifier
1629243548
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
CH5720 Issued in FL
Legal business name
ALTERMAN & JOHNSON FAMILY CHIROPRACTORS,PA
Practice address
423 3Rd St N
Jacksonville Beach, FL 32250-7028
Phone
(904) 247-3933
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Diane L JohnsonNPI 1447285366
Title
Co-Owner
Phone
(904) 247-3933

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
Pediatric ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NP0017X CH5720 FL Primary

Addresses

Primary practice location

423 3Rd St N
Jacksonville Beach, FL 32250-7028

Mailing address

423 3Rd St N
Jacksonville Beach, FL 32250-7028
Phone (904) 247-3933

Other identifiers 2

IdentifierTypeStateIssuer
058286700MedicaidFL
380706100MedicaidFL

National Provider Directory

National Provider Directory

Locations

8833 Perimeter Park Blvd
Ste 902
Jacksonville, FL 32216
Phone (904) 479-0363

423 3rd St N
Jax Bch, FL 32250
Phone (904) 241-1010

Practitioners & affiliated clinicians

Practitioners 1

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": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1629243548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 3RD ST N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507028",
            "telephone_number": "904-247-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 3RD ST N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507028",
            "telephone_number": "904-247-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERMAN & JOHNSON FAMILY CHIROPRACTORS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "904-247-3933",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "FL",
            "license": "CH5720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058286700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380706100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.