NPIMap

Organization Active NPI

Clearly Grace Concierge Chiropractic, LLC.

  • Health Service Clinic/Center
  • Melbourne, FL
National Provider Identifier
1629615356
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CLEARLY GRACE CONCIERGE CHIROPRACTIC, LLC.
Practice address
8009 Glastonbury PL
Melbourne, FL 32940-2141
Phone
(321) 265-4465
NPI assigned
Dec 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Authorized official

Name
Dr. Alycia Bowles, DCNPI 1619512944
Title
Chiropractor
Phone
(321) 265-4465

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

8009 Glastonbury PL
Melbourne, FL 32940-2141

Mailing address

8009 Glastonbury PL
Melbourne, FL 32940-2141
Phone (321) 265-4465

Other names 1

  • Clearly Grace Concierge Chiropractic Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1629615356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8009 GLASTONBURY PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402141",
            "telephone_number": "321-265-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 GLASTONBURY PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402141",
            "telephone_number": "321-265-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARLY GRACE CONCIERGE CHIROPRACTIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "ALYCIA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "321-265-4465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearly Grace Concierge Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.