Mandarin Chiropractic Center PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH6361 Issued in FL

Legal business name

MANDARIN CHIROPRACTIC CENTER PA

Practice address

9891 San Jose Blvd Ste 2
Jacksonville, FL 32257-5488

Phone

(904) 262-8600

Fax

(904) 262-3899

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Steven Nickels, DCNPI 1174530760

Title

President

Phone

(904) 262-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Michael Nickels, DC DACBN

  • Chiropractor
  • Jacksonville, FL
  • NPI 1174530760
  NPD (past) Authorized official
• John Fredrick Perkins, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1548286586
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1639343676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9891 SAN JOSE BLVD STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575488",
            "telephone_number": "904-262-8600",
            "fax_number": "904-262-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9891 SAN JOSE BLVD STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575488",
            "telephone_number": "904-262-8600",
            "fax_number": "904-262-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDARIN CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "NICKELS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-262-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3821501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Benjamin Mancia, DMD
• Andrew Mancusi-Ungaro, M.D.
• Melissa Snyder Mancuso, M.D.
• Akhila Reddy Mandadi, M.D.
• Sunny Mandal, DO
• Mandarin Counseling Inc
• Mandarin Eyecare Assoc, Inc
• Mandarin Family Medicine, P.a.
• Mandarin Healing Center Inc
• Mandarin OB-GYN PA

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.