Organization Active NPI

Edward J. Fliss, Jr., PA

Doing business as Fliss Chiropractic Clinic

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1740461052
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4135 Issued in FL
Legal business name
EDWARD J. FLISS, JR., PA
Doing business as
Fliss Chiropractic Clinic
Practice address
7425 N Tamiami TRL
Sarasota, FL 34243-1808
Phone
(941) 351-3466
Fax
(941) 351-3639
NPI assigned
Nov 15, 2007
Last updated
Oct 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Dr. Edward Joseph Fliss Jr., D.C.
Title
Owner/ President
Phone
(941) 351-3466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH4135 FL Primary

Addresses

Primary practice location

7425 N Tamiami TRL
Sarasota, FL 34243-1808

Mailing address

7425 N Tamiami TRL
Sarasota, FL 34243-1808
Phone (941) 351-3466

Other identifiers 2

IdentifierTypeStateIssuer
88968ZOtherFLBCBS
70066ZOtherFLBCBS

Other names 1

  • Fliss Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1740461052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 N TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342431808",
            "telephone_number": "941-351-3466",
            "fax_number": "941-351-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 N TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342431808",
            "telephone_number": "941-351-3466",
            "fax_number": "941-351-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. FLISS, JR., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "FLISS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "941-351-3466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88968Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "70066Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fliss Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.