Organization Active NPI

Treasure Coast Chiropractic, Inc

  • Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1730453903
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4497 Issued in FL
Legal business name
TREASURE COAST CHIROPRACTIC, INC
Practice address
5705 Buchanan Dr
Fort Pierce, FL 34982-3253
Phone
(772) 353-2740
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Gregg Jeffrey Rothstein, D.C.
Title
President
Phone
(772) 353-2740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH4497 FL Primary

Addresses

Primary practice location

5705 Buchanan Dr
Fort Pierce, FL 34982-3253

Mailing address

5705 Buchanan Dr
Fort Pierce, FL 34982-3253
Phone (772) 353-2740

Other identifiers 2

IdentifierTypeStateIssuer
FY498AOtherPTAN
1730453903OtherNPI

National Provider Directory

National Provider Directory

Locations

1894 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (407) 398-1433

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": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1730453903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 BUCHANAN DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349823253",
            "telephone_number": "772-353-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 BUCHANAN DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349823253",
            "telephone_number": "772-353-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "ROTHSTEIN",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-353-2740",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FY498A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730453903",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.