Individual provider Active NPI

Paul Kevin Christian, DC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1649721275
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 5756 Issued in FL
Practice address
2309 W Dr.Martin Luther King Jr. Blvd
Tampa, FL 33606-4034
Phone
(813) 677-2633
Fax
(813) 930-5963
NPI assigned
Oct 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 5756 FL Primary
Neurology Chiropractor 111NN0400X CH 5756 FL

Addresses

Primary practice location

2309 W Dr.Martin Luther King Jr. Blvd
Tampa, FL 33606-4034

Mailing address

2309 W Dr.Martin Luther King Jr. Blvd
Tampa, FL 33606-4034
Phone (813) 677-2633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH 5756FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1649721275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 W DR.MARTIN LUTHER KING JR. BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336064034",
            "telephone_number": "813-677-2633",
            "fax_number": "813-930-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W DR.MARTIN LUTHER KING JR. BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336064034",
            "telephone_number": "813-677-2633",
            "fax_number": "813-930-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "PAUL",
        "middle_name": "KEVIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 5756",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH 5756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.