Active NPI
Chiro Alliance Corporation
- Chiropractor
- Largo, FL
National Provider Identifier
1790758282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CHIRO ALLIANCE CORPORATION
- Practice address
- 10706 115TH Ave
Largo, FL 33778-3221 - Phone
- (727) 319-6199
- Fax
- (727) 395-0071
- NPI assigned
- Feb 7, 2006
- 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
- Mrs. Kathleen S Hollstrom, RN, BSN
- Title
- President
- Phone
- (727) 319-2434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
10706 115TH Ave
Largo, FL 33778-3221
Mailing address
PO Box 3340
Seminole, FL 33775-3340
Phone (727) 319-6199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21563 | Other | FL | BLUE CROSS AND BLUE SHIEL |
National Provider Directory
National Provider DirectoryLocations
10706 115th Ave
Largo, FL 33778
Phone (727) 319-6199
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790758282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3340",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337753340",
"telephone_number": "727-319-6199",
"fax_number": "727-395-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10706 115TH AVE",
"city": "LARGO",
"state": "FL",
"postal_code": "337783221",
"telephone_number": "727-319-6199",
"fax_number": "727-395-0071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIRO ALLIANCE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOLLSTROM",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-319-2434",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "21563",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.