Organization Active NPI

Rise Chiropractic

  • Health Service Clinic/Center
  • Fort Walton Beach, FL
National Provider Identifier
1770071011
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CH11998 Issued in FL
Legal business name
RISE CHIROPRACTIC
Practice address
348 Miracle Strip Pkwy SW Ste 20
Fort Walton Beach, FL 32548-5263
Phone
(574) 229-4177
NPI assigned
Apr 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Dr. Elizabeth Snow, DCNPI 1689117095
Title
Owner
Phone
(574) 229-4177

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
Health Service Clinic/Center 261QH0100X CH11998 FL Primary

Addresses

Primary practice location

348 Miracle Strip Pkwy SW Ste 20
Fort Walton Beach, FL 32548-5263

Mailing address

348 Miracle Strip Pkwy SW Ste 20
Fort Walton Beach, FL 32548-5263
Phone (574) 229-4177

National Provider Directory

National Provider Directory

Locations

348 Miracle Strip Pkwy SW
Ste 20
Fort Walton Beach, FL 32548
Phone (574) 229-4177

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1770071011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 MIRACLE STRIP PKWY SW STE 20",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485263",
            "telephone_number": "574-229-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MIRACLE STRIP PKWY SW STE 20",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485263",
            "telephone_number": "574-229-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-229-4177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "CH11998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.