TMJ TX Clinic

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 1638 Issued in FL

Legal business name

TMJ TX CLINIC

Practice address

8649 Regency Park Blvd
Port Richey, FL 34668-5742

Phone

(727) 843-4035

Fax

(727) 817-0475

NPI assigned

Jul 23, 2007

Last updated

Jul 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ina Marie Chancey, M.S./CCC/SLPNPI 1982804381

Title

Owner

Phone

(727) 843-4035

Specialties & licenses 1

Addresses

Tax ID family

TMJ TX Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• TMJ TX Clinic

  • Clinic/Center
  • Port Richey, FL
  • NPI 1144558727
  NPD tax ID

Locations

Practitioners 1

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.

• Ina Marie Chancey, M.S./CCC/SLP

  • Speech-Language Pathologist
  • Port Richey, FL
  • NPI 1982804381
  Authorized official Same address or phone

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1639379035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8649 REGENCY PARK BLVD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346685742",
            "telephone_number": "727-843-4035",
            "fax_number": "727-817-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8649 REGENCY PARK BLVD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346685742",
            "telephone_number": "727-843-4035",
            "fax_number": "727-817-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMJ TX CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "CHANCEY",
        "authorized_official_first_name": "INA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-843-4035",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S./CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 1638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Fairfax House Inc
• The Hearing Aid Center
• Gordon Thomas, OD
• Natassia Tirado
• TMJ TX Clinic
• Cecilio Torres-Ruiz, M.D.,P.A.
• Total Renal Care Inc (New Port Richey Kidney Center)
• Norman Toth, D.O.
• Baotran Tran
• Stacey Bao Tran, PHARM. D

• Speech-Language Pathologist in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.