Organization Active NPI

Mandese Family Chiropractic L.L.C.

  • Chiropractor
  • Indian Harbour Beach, FL
National Provider Identifier
1861068199
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MANDESE FAMILY CHIROPRACTIC L.L.C.
Practice address
2254 Highway A1A
Indian Harbour Beach, FL 32937-4922
Phone
(321) 626-0994
Fax
(321) 420-1762
NPI assigned
May 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
Dr. Mario Joseph Mandese, DC
Title
Owner/Chiropractor
Phone
(321) 257-7593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2254 Highway A1A
Indian Harbour Beach, FL 32937-4922

Mailing address

2254 Highway A1A
Indian Harbour Beach, FL 32937-4922
Phone (321) 626-0994

National Provider Directory

National Provider Directory

Locations

2254 Highway A1A
Indian Harbour Beach, FL 32937
Phone (321) 777-2273

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1861068199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 HIGHWAY A1A",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374922",
            "telephone_number": "321-626-0994",
            "fax_number": "321-420-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 HIGHWAY A1A",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374922",
            "telephone_number": "321-626-0994",
            "fax_number": "321-420-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDESE FAMILY CHIROPRACTIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "MANDESE",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "321-257-7593",
        "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 Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.