Organization Active NPI

Chiro-Injury and Wellness, LLC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1710297635
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 7093 Issued in FL
Legal business name
CHIRO-INJURY AND WELLNESS, LLC
Practice address
205 W Busch Blvd
Tampa, FL 33612-7900
Phone
(813) 931-7474
Fax
(813) 931-7102
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Dr. Barry Bodanza, DCNPI 1578693255
Title
Owner/Chiropractor
Phone
(813) 931-7474

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 CH 7093 FL Primary

Addresses

Primary practice location

205 W Busch Blvd
Tampa, FL 33612-7900

Mailing address

205 W Busch Blvd
Tampa, FL 33612-7900
Phone (813) 931-7474

National Provider Directory

National Provider Directory

Locations

205 W Busch Blvd
Tampa, FL 33612
Phone (800) 679-7246

9720 N Armenia Ave
Ste H
Tampa, FL 33612
Phone (813) 931-7474

Practitioners & affiliated clinicians

Practitioners 1

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": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1710297635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127900",
            "telephone_number": "813-931-7474",
            "fax_number": "813-931-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127900",
            "telephone_number": "813-931-7474",
            "fax_number": "813-931-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO-INJURY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "BODANZA",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "813-931-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 7093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 13, 2010; 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.