Active NPI
John Harvey Sours, D.C.
- Chiropractor
- Port Charlotte, FL
National Provider Identifier
1831467737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10475
- Practice address
- 3417 Tamiami TRL
Suite C
Port Charlotte, FL 33952-8158 - Phone
- (941) 627-0095
- Fax
- (941) 629-1872
- NPI assigned
- Dec 6, 2011
- Last updated
- Jan 24, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 10475 | FL | Primary |
Addresses
Primary practice location
3417 Tamiami TRL
Suite C
Port Charlotte, FL 33952-8158
Mailing address
3417 Tamiami TRL
Suite C
Port Charlotte, FL 33952-8158
Phone (941) 627-0095
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GL984Z | Other | FL | INDIVIDUAL PTAN |
| GL732A | Other | FL | GROUP'S PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 10475 | FL | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1831467737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 TAMIAMI TRL",
"address_2": "SUITE C",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528158",
"telephone_number": "941-627-0095",
"fax_number": "941-629-1872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3417 TAMIAMI TRL",
"address_2": "SUITE C",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528158",
"telephone_number": "941-627-0095",
"fax_number": "941-629-1872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOURS",
"first_name": "JOHN",
"middle_name": "HARVEY",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-06",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "GL984Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP'S PTAN",
"identifier": "GL732A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
- Celeste Sorrentino
- Gabriel A Sosa
- Edgardo Soto de la Rosa, M.D.
- Soul Care Solution LLC
- Soul Dental PLLC
- South Florida Diagnostic Associates
- Southwest Florida Regional Imaging II LLC
- Southwest Florida Spine Institute PLLC
- Southwest Physical Therapy & Rehabilitation Inc
- Southwest Psychotherapy and Counseling Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.