Active NPI
Trinity Family Chiropractic and Wellness Center LLC
- Chiropractor
- Daytona Beach Shores, FL
National Provider Identifier
1790028645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10846
- Legal business name
- TRINITY FAMILY CHIROPRACTIC AND WELLNESS CENTER LLC
- Practice address
- 116 Dunlawton Blvd
Ste 2
Daytona Beach Shores, FL 32118-2607 - Phone
- (386) 756-9484
- Fax
- (386) 756-9855
- NPI assigned
- Mar 28, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lauren Justine Panzarella Preis, D.C.
- Title
- Owner
- Phone
- (570) 956-4708
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 10846 | FL | Primary |
Addresses
Primary practice location
116 Dunlawton Blvd
Ste 2
Daytona Beach Shores, FL 32118-2607
Mailing address
116 Dunlawton Blvd
Ste 2
Daytona Beach Shores, FL 32118-2607
Phone (386) 756-9484
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Saint Marys, GA
- NPI 1063753432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369094400000",
"number": "1790028645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 DUNLAWTON BLVD",
"address_2": "STE 2",
"city": "DAYTONA BEACH SHORES",
"state": "FL",
"postal_code": "321182607",
"telephone_number": "386-756-9484",
"fax_number": "386-756-9855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 DUNLAWTON BLVD",
"address_2": "STE 2",
"city": "DAYTONA BEACH SHORES",
"state": "FL",
"postal_code": "321182607",
"telephone_number": "386-756-9484",
"fax_number": "386-756-9855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY FAMILY CHIROPRACTIC AND WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-28",
"last_updated": "2013-05-21",
"status": "A",
"authorized_official_last_name": "PREIS",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "JUSTINE PANZARELLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-956-4708",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.