Individual provider Active NPI

John Francis Cullinane, D. C.

  • Chiropractor
  • Saint Cloud, FL
National Provider Identifier
1750384582
Registry record updated Nov 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6290 Issued in FL
Practice address
1106 10TH St
Ste B
Saint Cloud, FL 34769-3334
Phone
(407) 892-5008
Fax
(407) 892-5028
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6290 FL Primary

Addresses

Primary practice location

1106 10TH St
Ste B
Saint Cloud, FL 34769-3334

Mailing address

1106 10TH St
Suite B
Saint Cloud, FL 34769-3332
Phone (407) 892-5008

Other identifiers 1

IdentifierTypeStateIssuer
052561800MedicaidFL

Other names 1

  • Dr. Jay Cullinane Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090204000690 FL Practitioner - Chiropractic 0345304432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1106 10TH St B
Saint Cloud, FL 34769-3334
Phone (407) 892-5008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Cloud Chiropractic, Inc Chiropractor CurrentSince Oct 2, 2008 Accepting new patients

Locations

1106 10th St
Ste B
Saint Cloud, FL 34769
Phone (407) 892-5008

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1750384582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 10TH ST",
            "address_2": "SUITE B",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347693332",
            "telephone_number": "407-892-5008",
            "fax_number": "407-982-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 10TH ST",
            "address_2": "STE B",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347693334",
            "telephone_number": "407-892-5008",
            "fax_number": "407-892-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLINANE",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052561800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "CULLINANE",
            "prefix": "DR.",
            "credential": "D. C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.