NPIMap

Organization Active NPI

Castelli Chiropractic Center, LLC

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1700964012
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CASTELLI CHIROPRACTIC CENTER, LLC
Practice address
12187 Beach Blvd Ste 1
Jacksonville, FL 32246-0620
Phone
(904) 854-9353
Fax
(904) 212-2727
NPI assigned
Nov 2, 2006
Organization subpart
No

Practitioners 4

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150227000755 FL Part B Supplier - Clinic/Group Practice 2860718368 Receives reassigned benefits from 4 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

12187 Beach Blvd
Ste 1
Jacksonville, FL 32246
Phone (904) 854-9353

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Sebastian Thomas CastelliNPI 1831295187
Title
MGR
Phone
(904) 854-9353

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

12187 Beach Blvd Ste 1
Jacksonville, FL 32246-0620

Mailing address

12187 Beach Blvd Ste 1
Jacksonville, FL 32246-0620
Phone (904) 854-9353

Other names 2

  • Castelli Chiropractic Center Doing business as
  • Sebastian Castelli, P.A Former legal business name

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1700964012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12187 BEACH BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460620",
            "telephone_number": "904-854-9353",
            "fax_number": "904-212-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12187 BEACH BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460620",
            "telephone_number": "904-854-9353",
            "fax_number": "904-212-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTELLI CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "CASTELLI",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "904-854-9353"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castelli Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Castelli Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sebastian Castelli, P.A",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.