Organization Active NPI

Mary Esther Chiropractic LLC

  • Chiropractor
  • Mary Esther, FL
National Provider Identifier
1760809636
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 11068 Issued in FL
Legal business name
MARY ESTHER CHIROPRACTIC LLC
Practice address
323 Page Bacon Rd
Suite 16
Mary Esther, FL 32569-1669
Phone
(850) 243-3993
Fax
(850) 243-3993
NPI assigned
Mar 27, 2014
Last updated
Mar 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Dr. Ana Tegla Leite, DC
Title
Ceo
Phone
(850) 243-3993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 11068 FL Primary

Addresses

Primary practice location

323 Page Bacon Rd
Suite 16
Mary Esther, FL 32569-1669

Mailing address

323 Page Bacon Rd
Suite 16
Mary Esther, FL 32569-1669
Phone (850) 243-3993

Other names 1

  • Mary Esther Chiropractic Other name

National Provider Directory

National Provider Directory

Locations

323 Page Bacon Rd
Ste 16
Mary Esther, FL 32569
Phone (850) 243-3993

Practitioners & affiliated clinicians

Practitioners 2

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": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1760809636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 PAGE BACON RD",
            "address_2": "SUITE 16",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691669",
            "telephone_number": "850-243-3993",
            "fax_number": "850-243-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 PAGE BACON RD",
            "address_2": "SUITE 16",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691669",
            "telephone_number": "850-243-3993",
            "fax_number": "850-243-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ESTHER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "LEITE",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "TEGLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-243-3993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Esther Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mary Esther, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.