Organization Active NPI

Michaux Family Chiropractic P.a

  • Chiropractor
  • Clermont, FL
National Provider Identifier
1629252168
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7851 Issued in FL
Legal business name
MICHAUX FAMILY CHIROPRACTIC P.A
Practice address
4347 S Hwy 27
Clermont, FL 34711-5349
Phone
(352) 243-7300
Fax
(352) 243-7355
NPI assigned
Dec 19, 2007
Last updated
Jul 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Dr. Kurtis Damon Michaux, D.CNPI 1902895691
Title
Owner
Phone
(352) 243-7300

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
Chiropractor 111N00000X CH7851 FL Primary

Addresses

Primary practice location

4347 S Hwy 27
Clermont, FL 34711-5349

Mailing address

4347 S Hwy 27
Clermont, FL 34711-5349
Phone (352) 243-7300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110201000463 FL Part B Supplier - Clinic/Group Practice 9739368101 Receives reassigned benefits from 1 practitioner
Practice locations: Clermont, FL

National Provider Directory

National Provider Directory

Locations

4347 S US Highway 27
Clermont, FL 34711
Phone (352) 243-7300

Practitioners & affiliated clinicians

Practitioners 3

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": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1629252168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 S HWY 27",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115349",
            "telephone_number": "352-243-7300",
            "fax_number": "352-243-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 S HWY 27",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115349",
            "telephone_number": "352-243-7300",
            "fax_number": "352-243-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAUX FAMILY CHIROPRACTIC P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "MICHAUX",
        "authorized_official_first_name": "KURTIS",
        "authorized_official_middle_name": "DAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-243-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7851",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 26, 2010; 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.