Organization Active NPI

Hartley Chiropractic P a

  • Chiropractor
  • St Augustine, FL
National Provider Identifier
1780654228
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH06696 Issued in FL
Legal business name
HARTLEY CHIROPRACTIC P A
Practice address
215 Oglethorpe Blvd
St Augustine, FL 32080-3747
Phone
(904) 669-6171
NPI assigned
Jan 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Dr. J Edward Hartley, DC
Title
President
Phone
(904) 669-6171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH06696 FL Primary

Addresses

Primary practice location

215 Oglethorpe Blvd
St Augustine, FL 32080-3747

Mailing address

215 Oglethorpe Blvd
St Augustine, FL 32080-3747
Phone (904) 669-6171

National Provider Directory

National Provider Directory

Locations

1027 A1A Beach Blvd
Saint Augustine, FL 32080
Phone (904) 460-0282

Practitioners & affiliated clinicians

Practitioners 4

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": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1780654228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OGLETHORPE BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803747",
            "telephone_number": "904-669-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OGLETHORPE BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803747",
            "telephone_number": "904-669-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTLEY CHIROPRACTIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-669-6171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH06696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.