Active NPI
Mary Esther Chiropractic LLC
- Chiropractor
- Mary Esther, FL
National Provider Identifier
1760809636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 11068
- 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, 2014
- 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
- Dr. Ana Tegla Leite, DC
- Title
- Ceo
- Phone
- (850) 243-3993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Mary Esther, FL
- NPI 1376960815
-
- Chiropractor
- Mary Esther, FL
- NPI 1295830602
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.