Active NPI
Somersall Chiropractic LLC
- Clinic/Center
- Palm Bay, FL
National Provider Identifier
1760624563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- CH9654
- Legal business name
- SOMERSALL CHIROPRACTIC LLC
- Practice address
- 4670 Babcock St NE
Suite 5
Palm Bay, FL 32905-2841 - Phone
- (321) 821-7866
- NPI assigned
- Mar 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mia Somersall Hosey
- Title
- Member
- Phone
- (321) 506-5462
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | CH9654 | FL | Primary |
Addresses
Primary practice location
4670 Babcock St NE
Suite 5
Palm Bay, FL 32905-2841
Mailing address
4670 Babcock St NE
Suite 5
Palm Bay, FL 32905-2841
Phone (321) 821-7866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11 Edgewood Dr
Melbourne, FL 32901
Phone (321) 821-7866
4670 Babcock St NE
Ste 5
Palm Bay, FL 32905
Phone (321) 288-0692
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Melbourne, FL
- NPI 1184869067
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1447360474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238025600000",
"number": "1760624563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4670 BABCOCK ST NE",
"address_2": "SUITE 5",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329052841",
"telephone_number": "321-821-7866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4670 BABCOCK ST NE",
"address_2": "SUITE 5",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329052841",
"telephone_number": "321-821-7866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMERSALL CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-26",
"last_updated": "2009-03-26",
"status": "A",
"authorized_official_last_name": "HOSEY",
"authorized_official_first_name": "MIA",
"authorized_official_middle_name": "SOMERSALL",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "321-506-5462"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "FL",
"license": "CH9654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.