Organization Active NPI

Dr Charles Price PA

  • Chiropractor
  • Brooksville, FL
National Provider Identifier
1841479128
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 3752 Issued in FL
Legal business name
DR CHARLES PRICE PA
Practice address
934 Candlelight Blvd
Brooksville, FL 34601-3116
Phone
(352) 796-2660
Fax
(352) 799-4487
NPI assigned
Nov 2, 2007
Last updated
Oct 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Dr. Charles Richard Price, D.C.NPI 1497747869
Title
President
Phone
(352) 796-2660

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
Chiropractor 111N00000X CH 3752 FL Primary

Addresses

Primary practice location

934 Candlelight Blvd
Brooksville, FL 34601-3116

Mailing address

934 Candlelight Blvd
Brooksville, FL 34601-3116
Phone (352) 796-2660

Other identifiers 2

IdentifierTypeStateIssuer
002249700MedicaidFL
000TTOtherFLBCBS

National Provider Directory

National Provider Directory

Locations

934 Candlelight Blvd
Brooksville, FL 34601
Phone (352) 796-2660

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": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1841479128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 CANDLELIGHT BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013116",
            "telephone_number": "352-796-2660",
            "fax_number": "352-799-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 CANDLELIGHT BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013116",
            "telephone_number": "352-796-2660",
            "fax_number": "352-799-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHARLES PRICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-796-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 3752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002249700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000TT",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.