Organization Active NPI

River City Chiropractic and Injury

  • Chiropractor
  • Debary, FL
National Provider Identifier
1851993620
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Dr. Seth James Bowden, DCNPI 1861884975
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20210329000648 FL Part B Supplier - Clinic/Group Practice 0244647881 Receives reassigned benefits from 1 practitioner
Practice locations: Debary, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.