Organization Active NPI

John S Chomer DC MD PC

  • Specialist
  • Fort Walton Beach, FL
National Provider Identifier
1801084330
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME85933 Issued in FL
Legal business name
JOHN S CHOMER DC MD PC
Practice address
625 Lovejoy Rd NW
Fort Walton Beach, FL 32548-3838
Phone
(850) 863-4700
Fax
(850) 863-4763
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
John S Chomer, DC MD PC
Title
Owner
Phone
(850) 863-4700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X ME85933 FL
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X ME85933 FL Primary

Addresses

Primary practice location

625 Lovejoy Rd NW
Fort Walton Beach, FL 32548-3838

Mailing address

625 Lovejoy Rd NW
Fort Walton Beach, FL 32548-3838
Phone (850) 863-4700

National Provider Directory

National Provider Directory

Locations

700 Beal Pkwy N
Unit M
Fort Walton Beach, FL 32547
Phone (850) 863-4700

243 Hollywood Blvd NW
#B
Fort Walton Beach, FL 32548
Phone (850) 863-4700

625 Lovejoy Rd NW
Fort Walton Beach, FL 32548
Phone (850) 863-4700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1801084330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LOVEJOY RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325483838",
            "telephone_number": "850-863-4700",
            "fax_number": "850-863-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 LOVEJOY RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325483838",
            "telephone_number": "850-863-4700",
            "fax_number": "850-863-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S CHOMER DC MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "CHOMER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-863-4700",
        "authorized_official_credential": "DC MD PC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "ME85933",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME85933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.