Active NPI
Seminole Chiropractic Injury & Wellness Center Inc
- Chiropractor
- Seminole, FL
National Provider Identifier
1851570220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- HCC 2141
- Legal business name
- SEMINOLE CHIROPRACTIC INJURY & WELLNESS CENTER INC
- Practice address
- 10863 Park Blvd
Suite 2
Seminole, FL 33772-5423 - Phone
- (727) 399-2229
- Fax
- (727) 399-2228
- NPI assigned
- Nov 1, 2007
- Last updated
- Jun 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen S Nickse, DC
- Title
- Chiropractor
- Phone
- (727) 399-2229
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | HCC 2141 | FL | Primary |
Addresses
Primary practice location
10863 Park Blvd
Suite 2
Seminole, FL 33772-5423
Mailing address
10863 Park Blvd
Suite 2
Seminole, FL 33772-5423
Phone (727) 399-2229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381927200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10863 Park Blvd
Ste 2
Seminole, FL 33772
Phone (727) 399-2229
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.
-
- Chiropractor
- Seminole, FL
- NPI 1881687374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1851570220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10863 PARK BLVD",
"address_2": "SUITE 2",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337725423",
"telephone_number": "727-399-2229",
"fax_number": "727-399-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10863 PARK BLVD",
"address_2": "SUITE 2",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337725423",
"telephone_number": "727-399-2229",
"fax_number": "727-399-2228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEMINOLE CHIROPRACTIC INJURY & WELLNESS CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-01",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "NICKSE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "727-399-2229",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "HCC 2141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381927200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seminole, FL
- Sean L. Sharp, D.C., P.a.
- Sean L. Sharp, D.C., P.a.
- Seating Specialist (Seating Specialist LLC)
- Carol Sellman, RRT
- Seminole Care & Rehab Center, Inc.
- Seminole Dental Group, PLLC
- Seminole Dental, PA
- Seminole Family Dental Care PLLC
- Seminole Harp Pediatric Dentistry
- Seminole Senior Living (Safe Harbor)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.