Pearl Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8810 Issued in FL

Legal business name

PEARL FAMILY CHIROPRACTIC LLC

Practice address

1457 N US Highway 1
Suite 21
Ormond Beach, FL 32174-0702

Phone

(386) 673-5952

Fax

(386) 673-5953

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Nicholas

Title

Office Manager, Vice President

Phone

(386) 673-5952

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811059637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 N US HIGHWAY 1",
            "address_2": "SUITE 21",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321740702",
            "telephone_number": "386-673-5952",
            "fax_number": "386-673-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 N US HIGHWAY 1",
            "address_2": "SUITE 21",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321740702",
            "telephone_number": "386-673-5952",
            "fax_number": "386-673-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OFFICE MANAGER, VICE PRESIDENT",
        "authorized_official_telephone_number": "386-673-5952",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.

Verify at the official NPI Registry.