Organization Active NPI

Treasure Coast Family & Sports Chiropractic, PA

  • Sports Physician Chiropractor
  • Vero Beach, FL
National Provider Identifier
1801157524
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH8776 Issued in FL
Legal business name
TREASURE COAST FAMILY & SPORTS CHIROPRACTIC, PA
Practice address
1635 14TH Ave
Vero Beach, FL 32960-0435
Phone
(772) 631-3995
Fax
(772) 631-3995
NPI assigned
May 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Bret Andrew White, D.C.NPI 1225328784
Title
President
Phone
(772) 631-3995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X CH8776 FL Primary

Addresses

Primary practice location

1635 14TH Ave
Vero Beach, FL 32960-0435

Mailing address

1635 14TH Ave
Vero Beach, FL 32960-0435
Phone (772) 631-3995

National Provider Directory

National Provider Directory

Locations

1635 14th Ave
Vero Beach, FL 32960
Phone (772) 562-3660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1801157524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 14TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600435",
            "telephone_number": "772-631-3995",
            "fax_number": "772-905-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 14TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600435",
            "telephone_number": "772-631-3995",
            "fax_number": "772-631-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST FAMILY & SPORTS CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-631-3995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH8776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.