Organization Active NPI

Ortega Chiropractic Corp.

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1780007070
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ORTEGA CHIROPRACTIC CORP.
Practice address
5367 Ortega Blvd
Jacksonville, FL 32210-8451
Phone
(904) 425-4545
Fax
(904) 425-4548
NPI assigned
Jan 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Dr. Steven Craig Read, D.C.NPI 1134231731
Title
President
Phone
(904) 425-4545

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X FL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X FL Primary

Addresses

Primary practice location

5367 Ortega Blvd
Jacksonville, FL 32210-8451

Mailing address

5367 Ortega Blvd
Jacksonville, FL 32210-8451
Phone (904) 425-4545

Other identifiers 1

IdentifierTypeStateIssuer
381430100MedicaidFL

National Provider Directory

National Provider Directory

Locations

5367 Ortega Blvd
Jacksonville, FL 32210
Phone (904) 425-4545

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": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1780007070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5367 ORTEGA BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108451",
            "telephone_number": "904-425-4545",
            "fax_number": "904-425-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5367 ORTEGA BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108451",
            "telephone_number": "904-425-4545",
            "fax_number": "904-425-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTEGA CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "READ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-425-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381430100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

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