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Organization Active NPI

Callahan Chiropractic Clinic

  • Chiropractor
  • Callahan, FL
National Provider Identifier
1629323829
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 1521 Issued in FL
Legal business name
CALLAHAN CHIROPRACTIC CLINIC
Practice address
542184 S. Kings Rd.
Suite 3B
Callahan, FL 32011-1107
Phone
(904) 879-2209
Fax
(904) 879-3709
NPI assigned
Jul 13, 2012
Last updated
Jul 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Dr. Daniel R. Weaver, D.C.
Title
Chiropractor/Owner
Phone
(904) 879-2209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 1521 FL Primary

Addresses

Primary practice location

542184 S. Kings Rd.
Suite 3B
Callahan, FL 32011-1107

Mailing address

PO Box 1107
Callahan, FL 32011-1107
Phone (904) 879-2209

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1629323829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320111107",
            "telephone_number": "904-879-2209",
            "fax_number": "904-879-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542184 S. KINGS RD.",
            "address_2": "SUITE 3B",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320111107",
            "telephone_number": "904-879-2209",
            "fax_number": "904-879-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAHAN CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "904-879-2209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 1521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Callahan, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.