Active Family Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10339 Issued in FL

Legal business name

ACTIVE FAMILY CHIROPRACTIC, P.A.

Practice address

11232 W Hillsborough Ave
Tampa, FL 33635-9719

Phone

(813) 925-9700

NPI assigned

Nov 26, 2014

Organization subpart

No

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

Authorized official

Name

Jenny Mejia SpicerNPI 1629365739

Title

Chiropractor/Owner

Phone

(813) 925-9700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Active Family Chiropractic, P.a.

  • Chiropractor
  • Tampa, FL
  • NPI 1952708521

  O20150223000546

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenny Mejia Spicer, D.C.

  • Chiropractor
  • Tampa, FL
  • NPI 1629365739
  Medicare reassignment NPD Authorized official
• Ashley Candice Sooklal, D.C.

  • Chiropractor
  • New Port Richey, FL
  • NPI 1205382322
  Medicare reassignment NPD

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1750788337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11232 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359719",
            "telephone_number": "813-925-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11232 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359719",
            "telephone_number": "813-925-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE FAMILY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "SPICER",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "MEJIA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "813-925-9700"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geza Acs, MD
• Acti-Kare Inc
• Acti-Kare Inc.
• Actikare
• Active Diagnostic Imaging LLC
• Active Family Chiropractic, P.a.
• Active Health & Wellness Center, Inc.
• Active Home Health LLC
• Active Medical Supply Inc
• Active Solutions Rehab & Wellness LLC

• Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.