Active NPI
River City Chiropractic and Injury
- Chiropractor
- Debary, FL
National Provider Identifier
1851993620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- RIVER CITY CHIROPRACTIC AND INJURY
- Practice address
- 155 S Charles Richard Beall Blvd Ste B
Debary, FL 32713-3268 - Phone
- (386) 320-0058
- Fax
- (386) 516-6921
- NPI assigned
- Nov 16, 2020
- 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. Seth James Bowden, DC
- Title
- Chiropractor/Owner
- Phone
- (386) 320-0058
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 | Primary |
Addresses
Primary practice location
155 S Charles Richard Beall Blvd Ste B
Debary, FL 32713-3268
Mailing address
155 S Charles Richard Beall Blvd Ste B
Debary, FL 32713-3268
Phone (386) 320-0058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210329000648 | FL | Part B Supplier - Clinic/Group Practice | 0244647881 |
Receives reassigned benefits from 1 practitioner Practice locations: Debary, FL |
National Provider Directory
National Provider DirectoryLocations
155 S Charles Richard Beall Blvd
Ste B
Debary, FL 32713
Phone (386) 320-0058
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Debary, FL
- NPI 1861884975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605484800000",
"number": "1851993620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 S CHARLES RICHARD BEALL BLVD STE B",
"city": "DEBARY",
"state": "FL",
"postal_code": "327133268",
"telephone_number": "386-320-0058",
"fax_number": "386-516-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 S CHARLES RICHARD BEALL BLVD STE B",
"city": "DEBARY",
"state": "FL",
"postal_code": "327133268",
"telephone_number": "386-320-0058",
"fax_number": "386-516-6921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER CITY CHIROPRACTIC AND INJURY",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A",
"authorized_official_last_name": "BOWDEN",
"authorized_official_first_name": "SETH",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
"authorized_official_telephone_number": "386-320-0058",
"authorized_official_name_prefix": "Dr.",
"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 Debary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.