Active NPI
Altomare Chiropractic Center PA
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1720138035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH4855
- Legal business name
- ALTOMARE CHIROPRACTIC CENTER PA
- Practice address
- 10175 Fortune Pkwy
Suite 1001
Jacksonville, FL 32256-6746 - Phone
- (904) 464-0319
- Fax
- (904) 464-0672
- NPI assigned
- Jan 11, 2007
- 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. Joseph J Altomare, DC
- Title
- Owner
- Phone
- (904) 464-0319
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 | CH4855 | FL | Primary |
Addresses
Primary practice location
10175 Fortune Pkwy
Suite 1001
Jacksonville, FL 32256-6746
Mailing address
10175 Fortune Pkwy
Ste 1001
Jacksonville, FL 32256-6746
Phone (904) 464-0319
Other names 1
- Altomare Chiropractic Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090305000154 | FL | Part B Supplier - Clinic/Group Practice | 5193881837 |
Receives reassigned benefits from 1 practitioner Practice locations: Jacksonville, FL |
National Provider Directory
National Provider DirectoryLocations
10175 Fortune Pkwy
Unit 1001
Jacksonville, FL 32256
Phone (904) 464-0319
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
- Jacksonville, FL
- NPI 1235376054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212537600000",
"number": "1720138035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10175 FORTUNE PKWY",
"address_2": "STE 1001",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566746",
"telephone_number": "904-464-0319",
"fax_number": "904-464-0672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10175 FORTUNE PKWY",
"address_2": "SUITE 1001",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566746",
"telephone_number": "904-464-0319",
"fax_number": "904-464-0672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTOMARE CHIROPRACTIC CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2008-06-04",
"status": "A",
"authorized_official_last_name": "ALTOMARE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-464-0319",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH4855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Altomare Chiropractic Center",
"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 Jun 4, 2008; 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.