NPIMap

Organization Active NPI

Munday Chiropractic Clinic P a

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1689791683
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006040 Issued in FL
Legal business name
MUNDAY CHIROPRACTIC CLINIC P A
Practice address
6645 N Socrum Loop Rd
Lakeland, FL 33809-4182
Phone
(863) 853-3000
Fax
(863) 859-7640
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Charles A. Munday, D.C.NPI 1992795983
Title
Owner
Phone
(863) 853-3000

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0006040 FL Primary

Addresses

Primary practice location

6645 N Socrum Loop Rd
Lakeland, FL 33809-4182

Mailing address

6645 N Socrum Loop Rd
Lakeland, FL 33809-4182
Phone (863) 853-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040521000699 FL Part B Supplier - Clinic/Group Practice 1951392547 Receives reassigned benefits from 4 practitioners
Practice locations: Lakeland, FL

National Provider Directory

National Provider Directory

Locations

6645 N Socrum Loop Rd
Lakeland, FL 33809
Phone (863) 853-3000

227 Commonwealth Ave N
Polk City, FL 33868
Phone (863) 874-4814

Practitioners & affiliated clinicians

Practitioners 12

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1689791683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 N SOCRUM LOOP RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094182",
            "telephone_number": "863-853-3000",
            "fax_number": "863-859-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 N SOCRUM LOOP RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094182",
            "telephone_number": "863-853-3000",
            "fax_number": "863-859-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNDAY CHIROPRACTIC CLINIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "MUNDAY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-853-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.