Organization Active NPI

Atlas Chiropractic Clinic Inc

  • Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1710162433
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH 5054 Issued in FL
Legal business name
ATLAS CHIROPRACTIC CLINIC INC
Practice address
12086 Fort Caroline Rd
Unit 504
Jacksonville, FL 32225-2687
Phone
(904) 646-1108
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Dr. Garth Clive Trinder-Smith, D.C.
Title
President
Phone
(904) 646-1108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH 5054 FL Primary

Addresses

Primary practice location

12086 Fort Caroline Rd
Unit 504
Jacksonville, FL 32225-2687

Mailing address

12086 Fort Caroline Rd.
Unit 504
Jacksonville, FL 32225
Phone (904) 646-4110

National Provider Directory

National Provider Directory

Locations

12086 Fort Caroline Rd
Ste 504
Jacksonville, FL 32225
Phone (904) 646-1108

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1710162433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12086 FORT CAROLINE RD.",
            "address_2": "UNIT 504",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32225",
            "telephone_number": "904-646-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12086 FORT CAROLINE RD",
            "address_2": "UNIT 504",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252687",
            "telephone_number": "904-646-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "TRINDER-SMITH",
        "authorized_official_first_name": "GARTH",
        "authorized_official_middle_name": "CLIVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-646-1108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH 5054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 31, 2007; 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.