Organization Active NPI

Integrity Spine Center Inc

  • Chiropractor
  • Daytona Beach, FL
National Provider Identifier
1821310178
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9744 Issued in FL
Legal business name
INTEGRITY SPINE CENTER INC
Practice address
1850 S Clyde Morris Blvd
Suite C1
Daytona Beach, FL 32119-1579
Phone
(386) 290-4808
Fax
(386) 675-6591
NPI assigned
Feb 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Dr. Christopher L Tatalovich, DC
Title
President/Owner
Phone
(386) 290-4808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9744 FL Primary

Addresses

Primary practice location

1850 S Clyde Morris Blvd
Suite C1
Daytona Beach, FL 32119-1579

Mailing address

1872 Forough Cir
Port Orange, FL 32128-6018
Phone (386) 290-4808

National Provider Directory

National Provider Directory

Locations

1850 S Clyde Morris Blvd
Ste C1
Daytona Beach, FL 32119
Phone (386) 290-4808

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1821310178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 FOROUGH CIR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286018",
            "telephone_number": "386-290-4808",
            "fax_number": "386-675-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S CLYDE MORRIS BLVD",
            "address_2": "SUITE C1",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191579",
            "telephone_number": "386-290-4808",
            "fax_number": "386-675-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY SPINE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "TATALOVICH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "386-290-4808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.