NPIMap

Organization Active NPI

Coastal Chiropractic Palm Harbor LLC

  • Medical Specialty Clinic/Center
  • Spring Hill, FL
National Provider Identifier
1679879282
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
CH6488 Issued in FL
Legal business name
COASTAL CHIROPRACTIC PALM HARBOR LLC
Practice address
3091 Anderson Snow Rd
Spring Hill, FL 34609-5202
Phone
(352) 799-7753
NPI assigned
Jan 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Dr. Drew Kycynka, DC
Title
MGRM
Phone
(352) 799-7753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X CH6488 FL Primary

Addresses

Primary practice location

3091 Anderson Snow Rd
Spring Hill, FL 34609-5202

Mailing address

3091 Anderson Snow Rd
Spring Hill, FL 34609-5202
Phone (352) 799-7753

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1679879282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3091 ANDERSON SNOW RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095202",
            "telephone_number": "352-799-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3091 ANDERSON SNOW RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095202",
            "telephone_number": "352-799-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CHIROPRACTIC PALM HARBOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "KYCYNKA",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "352-799-7753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "CH6488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.