Organization Active NPI

Fiore Chiropractic Office

  • Sports Physician Chiropractor
  • Orange Park, FL
National Provider Identifier
1841564002
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
4727 Issued in FL
Legal business name
FIORE CHIROPRACTIC OFFICE
Practice address
637 Blanding Blvd Ste 3
Orange Park, FL 32073-5029
Phone
(904) 276-5433
Fax
(904) 272-5546
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Timothy J Fiore, MDNPI 1457407272
Title
Owner
Phone
(904) 276-5433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 4727 FL Primary

Addresses

Primary practice location

637 Blanding Blvd Ste 3
Orange Park, FL 32073-5029

Mailing address

637 Blanding Blvd Ste 3
Orange Park, FL 32073-5029
Phone (904) 276-5433

Other identifiers 1

IdentifierTypeStateIssuer
CH4727OtherFLLICENSE

National Provider Directory

National Provider Directory

Locations

637 Blanding Blvd
Ste 3
Orange Park, FL 32073
Phone (904) 276-5433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1841564002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 BLANDING BLVD STE 3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735029",
            "telephone_number": "904-276-5433",
            "fax_number": "904-272-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 BLANDING BLVD STE 3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735029",
            "telephone_number": "904-276-5433",
            "fax_number": "904-272-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIORE CHIROPRACTIC OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "FIORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-276-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "4727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CH4727",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.