Organization Active NPI

John Abendroth, D.C., P.a.

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1730418591
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JOHN ABENDROTH, D.C., P.A.
Practice address
2100 SE Ocean Blvd
Suite 101
Stuart, FL 34996-3332
Phone
(772) 223-7337
Fax
(772) 223-7794
NPI assigned
Dec 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Dr. Carl John Abendroth III, D.C. PA
Title
President
Phone
(772) 223-7337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

2100 SE Ocean Blvd
Suite 101
Stuart, FL 34996-3332

Mailing address

2100 SE Ocean Blvd
Suite 101
Stuart, FL 34996-3332
Phone (772) 223-7337

Other names 1

  • Stuart Spine & disc Center Doing business as

National Provider Directory

National Provider Directory

Locations

2100 SE Ocean Blvd
Ste 101
Stuart, FL 34996
Phone (772) 223-7337

715 SE 5th St
Stuart, FL 34994
Phone (772) 223-7337

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1730418591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SE OCEAN BLVD",
            "address_2": "SUITE 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963332",
            "telephone_number": "772-223-7337",
            "fax_number": "772-223-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE OCEAN BLVD",
            "address_2": "SUITE 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963332",
            "telephone_number": "772-223-7337",
            "fax_number": "772-223-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ABENDROTH, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "ABENDROTH",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-223-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C. PA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stuart Spine & disc Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.