Active NPI
Adam Podraza
- Chiropractor
- Ponte Vedra, FL
National Provider Identifier
1740648385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12116
- Practice address
- 145 Hilden Rd
Suite 123
Ponte Vedra, FL 32081-8401 - Phone
- (904) 395-5371
- NPI assigned
- Feb 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12116 | FL | Primary |
Addresses
Primary practice location
145 Hilden Rd
Suite 123
Ponte Vedra, FL 32081-8401
Mailing address
148 Split Oak Rd
St Augustine, FL 32092-5444
Phone (904) 395-5371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12116 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1740648385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 SPLIT OAK RD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320925444",
"telephone_number": "904-395-5371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HILDEN RD",
"address_2": "SUITE 123",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320818401",
"telephone_number": "904-395-5371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODRAZA",
"first_name": "ADAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-09",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.