American Family & Sports Chiropractic Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7773 Issued in FL

Legal business name

AMERICAN FAMILY & SPORTS CHIROPRACTIC CENTER INC

Practice address

4649 Clyde Morris Blvd Unit 609
Port Orange, FL 32129

Phone

(386) 760-6150

Fax

(386) 788-1998

NPI assigned

Apr 8, 2008

Last updated

May 18, 2018By 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

Dr. Elizabeth Jane Hennighan, D.C.NPI 1386717205

Title

Pres

Phone

(386) 760-6150

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Elizabeth Jane Hennighan, DC

  • Chiropractor
  • Port Orange, FL
  • NPI 1386717205
  Authorized official Same address or phone

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1669645057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4649 CLYDE MORRIS BLVD UNIT 609",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293003",
            "telephone_number": "386-760-6150",
            "fax_number": "386-788-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4649 CLYDE MORRIS BLVD UNIT 609",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32129",
            "telephone_number": "386-760-6150",
            "fax_number": "386-788-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FAMILY & SPORTS CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "HENNIGHAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "386-760-6150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382037800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aicha Alouah
• Alterra Dialysis LLC (Port Orange Dialysis)
• Trudy Amadi
• Khawla Amawi, ARNP
• Amedisys Florida, LLC (Amedisys Home Health)
• Americas Best Caregivers Inc
• Amsurg Port Orange Anesthesia, LLC
• Lisa Amundson
• Andy Ananda
• Chery Ananda

• Chiropractor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.