NPIMap

Organization Active NPI

Banister Chiropractic

  • Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1750574133
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH8676 Issued in FL
Legal business name
BANISTER CHIROPRACTIC
Practice address
4111 Atlantic Boulevard
Jacksonville, FL 32207-2038
Phone
(904) 398-7662
Fax
(904) 398-1785
NPI assigned
Aug 20, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. April J Butler, DC
Title
President
Phone
(904) 398-7662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH8676 FL Primary

Addresses

Primary practice location

4111 Atlantic Boulevard
Jacksonville, FL 32207-2038

Mailing address

4111 Atlantic Blvd
Jacksonville, FL 32207-2038
Phone (904) 398-7662

National Provider Directory

National Provider Directory
Tax ID family
A Chiropractor LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1750574133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072038",
            "telephone_number": "904-398-7662",
            "fax_number": "904-398-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 ATLANTIC BOULEVARD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072038",
            "telephone_number": "904-398-7662",
            "fax_number": "904-398-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANISTER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-398-7662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH8676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.