Organization Active NPI

Advanced Chiropractic Solutions, LLC

  • Chiropractor
  • Sebastian, FL
National Provider Identifier
1750804357
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12223 Issued in FL
Legal business name
ADVANCED CHIROPRACTIC SOLUTIONS, LLC
Practice address
9414 N US Highway 1
Sebastian, FL 32958-6398
Phone
(772) 228-8131
NPI assigned
Jul 25, 2017
Last updated
Jan 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Dr. Harold Freidrich Reichert III, DCNPI 1174044549
Title
President
Phone
(772) 633-0127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH12223 FL Primary

Addresses

Primary practice location

9414 N US Highway 1
Sebastian, FL 32958-6398

Mailing address

13415 N Indian River Dr
Sebastian, FL 32958-3457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171130000050 FL Part B Supplier - Clinic/Group Practice 9335406354 Receives reassigned benefits from 1 practitioner
Practice locations: Sebastian, FL

National Provider Directory

National Provider Directory

Locations

13415 N Indian River Dr
Sebastian, FL 32958

9414 N US Highway 1
Sebastian, FL 32958
Phone (772) 228-8131

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1750804357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13415 N INDIAN RIVER DR",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 N US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329586398",
            "telephone_number": "772-228-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "REICHERT",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "FREIDRICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-633-0127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.