Organization Active NPI

Tri-Core Performance Inc

  • Chiropractor
  • St. Petersburg, FL
National Provider Identifier
1639498538
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TRI-CORE PERFORMANCE INC
Practice address
900 Carillon Parkway
Suite 108
St. Petersburg, FL 33716
Phone
(727) 687-2124
NPI assigned
May 18, 2010
Organization subpart
Yes
Parent organization
TRI-CORE PERFORMANCE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Dr. Matt Fontaine, D.C.
Title
Owner
Phone
(727) 687-2124

Specialties & licenses 1

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

Addresses

Primary practice location

900 Carillon Parkway
Suite 108
St. Petersburg, FL 33716

Mailing address

900 Carillon Parkway
Suite 108
St. Petersburg, FL 33716
Phone (727) 687-2124

National Provider Directory

National Provider Directory
Part of
Tri-Core Performance Inc

Locations

900 Carillon Pkwy
Ste 108
St Petersburg, FL 33716
Phone (727) 344-0533

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1639498538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CARILLON PARKWAY",
            "address_2": "SUITE 108",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33716",
            "telephone_number": "727-687-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CARILLON PARKWAY",
            "address_2": "SUITE 108",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33716",
            "telephone_number": "727-687-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CORE PERFORMANCE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-CORE PERFORMANCE INC",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "FONTAINE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-687-2124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.