Healing Roots Chiropractic Centers LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HEALING ROOTS CHIROPRACTIC CENTERS LLC

Practice address

116 Bartram Oaks Walk Ste 104
St Johns, FL 32259-3267

Phone

(904) 701-0099

NPI assigned

Feb 8, 2020

Last updated

Feb 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jon Dandridge, DCNPI 1912568643

Title

Owner

Phone

(904) 446-5233

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jon Dandridge, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1912568643
  Authorized official Same address or phone

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

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581120000000",
    "number": "1740812668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BARTRAM OAKS WALK STE 104",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322593267",
            "telephone_number": "904-701-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BARTRAM OAKS WALK STE 104",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322593267",
            "telephone_number": "904-701-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ROOTS CHIROPRACTIC CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-08",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A",
        "authorized_official_last_name": "DANDRIDGE",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-446-5233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Jennice Harrison, LMFT
• Micaela Harrison, DNP
• Hathcock Counseling, LLC
• Dana M Hatwig, APRN
• Healing Heart Behavioral Consultation
• Healx Care LLC (Revive Wound & Wellness)
• Cestau Henry
• Rachel Henry, DNP, AGACNP-BC
• Allison Beth Hentkowski, PA-C
• Alelee Herrera, OTR/L

• Chiropractor in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; 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.