Active NPI
Ocean Chiropractic & Laser Center, LLC
- Chiropractor
- Tampa, FL
National Provider Identifier
1700180916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9734
- Legal business name
- OCEAN CHIROPRACTIC & LASER CENTER, LLC
- Practice address
- 4707 W Gandy Blvd Ste 4
Tampa, FL 33611-3310 - Phone
- (813) 374-0116
- NPI assigned
- Jan 3, 2011
- 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. Martin William Warren, D.C.
- Title
- Owner
- Phone
- (813) 374-0116
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 | CH9734 | FL | Primary |
Addresses
Primary practice location
4707 W Gandy Blvd Ste 4
Tampa, FL 33611-3310
Mailing address
3612 S Dale Mabry Hwy
Unit a
Tampa, FL 33629-8656
Phone (813) 374-0116
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Computer | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4707 W Gandy Blvd
Ste 4
Tampa, FL 33611
Phone (813) 374-0116
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
- Tampa, FL
- NPI 1235365339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571011200000",
"number": "1700180916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3612 S DALE MABRY HWY",
"address_2": "UNIT A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336298656",
"telephone_number": "813-374-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4707 W GANDY BLVD STE 4",
"city": "TAMPA",
"state": "FL",
"postal_code": "336113310",
"telephone_number": "813-374-0116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN CHIROPRACTIC & LASER CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-03",
"last_updated": "2019-10-14",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-374-0116",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9734",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Computer",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4707 W Gandy Blvd Ste 4",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336113310",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.