Organization Active NPI

Connect Family Chiropractic Inc.

Doing business as Connect Family Chiropractic

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1770264558
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CONNECT FAMILY CHIROPRACTIC INC.
Doing business as
Connect Family Chiropractic
Practice address
3677 W Waters Ave
Tampa, FL 33614-2783
Phone
(813) 252-1225
Fax
(813) 252-0048
NPI assigned
Jul 26, 2023
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Dr. Allan Joseph Venegas, DCNPI 1346830536
Title
Co-Owner
Phone
(630) 441-0346

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3677 W Waters Ave
Tampa, FL 33614-2783

Mailing address

8516 Sandy Beach St
Tampa, FL 33634-1248

Other names 1

  • Connect Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240102004076 FL Part B Supplier - Clinic/Group Practice 4385094382 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

3677 W Waters Ave
Tampa, FL 33614
Phone (813) 252-1225

Practitioners & affiliated clinicians

Practitioners 1

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": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1770264558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8516 SANDY BEACH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142783",
            "telephone_number": "813-252-1225",
            "fax_number": "813-252-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT FAMILY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "VENEGAS",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "630-441-0346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connect Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.