Organization Active NPI

Tampa Spine & Wellness LLC

  • Chiropractor
  • Temple Terrace, FL
National Provider Identifier
1780007039
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10095 Issued in FL
Legal business name
TAMPA SPINE & WELLNESS LLC
Practice address
8575 Montravail Cir Apt 731
Temple Terrace, FL 33637-3036
Phone
(352) 212-7571
NPI assigned
Jan 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Dr. Seth Michael Lott, D.C.NPI 1184931461
Title
Pres/Owner
Phone
(352) 212-7571

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10095 FL Primary

Addresses

Primary practice location

8575 Montravail Cir Apt 731
Temple Terrace, FL 33637-3036

Mailing address

205 W Martin Luther King Blvd
Suite 102
Tampa, FL 33603-3600
Phone (813) 331-5753

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140620001065 FL Part B Supplier - Clinic/Group Practice 7416171038 Receives reassigned benefits from 2 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

205 W Dr Martin Luther King Jr Blvd
Ste 102
Tampa, FL 33603
Phone (813) 331-5753

Practitioners & affiliated clinicians

Practitioners 2

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": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1780007039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W MARTIN LUTHER KING BLVD",
            "address_2": "SUITE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033600",
            "telephone_number": "813-331-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 MONTRAVAIL CIR APT 731",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336373036",
            "telephone_number": "352-212-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA SPINE & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "LOTT",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "352-212-7571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.