Organization Active NPI

Two Palms Chiropractic & Wellness

  • Primary Care Clinic/Center
  • Bradenton, FL
National Provider Identifier
1689298234
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TWO PALMS CHIROPRACTIC & WELLNESS
Practice address
5620 Tara Blvd Ste 103
Bradenton, FL 34203-8865
Phone
(941) 220-6993
Fax
(941) 220-6969
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Dr. Christy Moore, DCNPI 1912290677
Title
Owner
Phone
(678) 462-9553

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5620 Tara Blvd Ste 103
Bradenton, FL 34203-8865

Mailing address

5620 Tara Blvd Ste 103
Bradenton, FL 34203-8865
Phone (941) 220-6993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211019002515 FL Part B Supplier - Clinic/Group Practice 8729476064 Receives reassigned benefits from 1 practitioner
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Locations

5620 Tara Blvd
Ste 103
Bradenton, FL 34203
Phone (941) 220-6993

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1689298234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 TARA BLVD STE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342038865",
            "telephone_number": "941-220-6993",
            "fax_number": "941-220-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 TARA BLVD STE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342038865",
            "telephone_number": "941-220-6993",
            "fax_number": "941-220-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO PALMS CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-462-9553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.