Organization Active NPI

Beauty Artistry Health Chiropractic, PLLC

  • Chiropractor
  • Fleming Island, FL
National Provider Identifier
1831698604
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BEAUTY ARTISTRY HEALTH CHIROPRACTIC, PLLC
Practice address
414 Old Hard Rd Ste 106
Fleming Island, FL 32003-3407
Phone
(678) 629-1039
NPI assigned
Feb 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Stephanie Davidson, DC
Title
Manager
Phone
(904) 742-3766

Specialties & licenses 1

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

Addresses

Primary practice location

414 Old Hard Rd Ste 106
Fleming Island, FL 32003-3407

Mailing address

5375 Ortega Farms Blvd Unit 408
Jacksonville, FL 32210-7480

National Provider Directory

National Provider Directory

Locations

414 Old Hard Rd
Ste 106
Fleming Island, FL 32003
Phone (678) 629-1039

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1831698604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 ORTEGA FARMS BLVD UNIT 408",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 OLD HARD RD STE 106",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320033407",
            "telephone_number": "678-629-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY ARTISTRY HEALTH CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-742-3766",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

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