NPIMap

Organization Active NPI

Radiant Chiropractic, LLC

Doing business as Radiant Family Chiropractic

  • Chiropractor
  • Yulee, FL
National Provider Identifier
1700472289
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RADIANT CHIROPRACTIC, LLC
Doing business as
Radiant Family Chiropractic
Practice address
463646 State Road 200 Ste 7
Yulee, FL 32097-0303
Phone
(443) 603-8496
NPI assigned
Dec 18, 2020
Last updated
Dec 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Dr. Summer Hopkins, D.C.NPI 1316577489
Title
Co-Owner
Phone
(443) 603-8496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

463646 State Road 200 Ste 7
Yulee, FL 32097-0303

Mailing address

463646 State Road 200 Ste 7
Yulee, FL 32097-0303
Phone (443) 603-8496

Other names 1

  • Radiant Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

463646 State Road 200
Ste 7
Yulee, FL 32097
Phone (443) 603-8496

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1700472289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463646 STATE ROAD 200 STE 7",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320970303",
            "telephone_number": "443-603-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463646 STATE ROAD 200 STE 7",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320970303",
            "telephone_number": "443-603-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "443-603-8496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yulee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.