Active NPI
Gulf County Chiropractic
- Chiropractor
- Port St Joe, FL
National Provider Identifier
1649721879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10351
- Legal business name
- GULF COUNTY CHIROPRACTIC
- Practice address
- 223 9TH St
Port St Joe, FL 32456-1923 - Phone
- (850) 227-7222
- NPI assigned
- Oct 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Derek D Tracy, DC
- Title
- Owner
- Phone
- (850) 227-7222
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 10351 | FL | Primary |
Addresses
Primary practice location
223 9TH St
Port St Joe, FL 32456-1923
Mailing address
223 9TH St
Port St Joe, FL 32456-1923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220MX | Other | FL | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
223 9th St
Port St Joe, FL 32456
Phone (850) 227-7222
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Port St Joe, FL
- NPI 1841269156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477267200000",
"number": "1649721879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 9TH ST",
"city": "PORT ST JOE",
"state": "FL",
"postal_code": "324561923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 9TH ST",
"city": "PORT ST JOE",
"state": "FL",
"postal_code": "324561923",
"telephone_number": "850-227-7222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF COUNTY CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A",
"authorized_official_last_name": "TRACY",
"authorized_official_first_name": "DEREK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-227-7222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10351",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "220MX",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port St Joe, FL
- Don J. Gibson, MD
- Connie Micheal Greenwood, RN
- John M. Griggs, DNP, FNP-C, CDCES
- Beverly Annette Grinslade, HYGIENIST
- Gulf County Association for Retarded Citizens, Inc.
- Gulf County School Board
- Gulf County School Board
- Gulf County School Board
- Gulf County School Board
- Gulf County Senior Citizens Association, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.