Organization Active NPI

Alan Nathans Family Chiropractic Inc

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1861659484
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7885 Issued in FL
Legal business name
ALAN NATHANS FAMILY CHIROPRACTIC INC
Practice address
11048 Baymeadows Rd
Suite 2
Jacksonville, FL 32256-9699
Phone
(904) 733-7393
Fax
(904) 363-3397
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Dr. Alan Nathans, D.C,NPI 1063555720
Title
Owner
Phone
(904) 733-7393

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 CH7885 FL Primary

Addresses

Primary practice location

11048 Baymeadows Rd
Suite 2
Jacksonville, FL 32256-9699

Mailing address

11048 Baymeadows Rd
Suite 2
Jacksonville, FL 32256-9699
Phone (904) 733-7393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040825001227 FL Part B Supplier - Clinic/Group Practice 6608840400 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, FL; Jacksonville Beach, FL

National Provider Directory

National Provider Directory

Locations

8552 Baymeadows Rd
Jacksonville, FL 32256
Phone (904) 733-7393

11048 Baymeadows Rd
Unit 2
Jacksonville, FL 32256
Phone (904) 363-3327

11048 Baymeadows Rd
Jacksonville, FL 32256
Phone (904) 240-1101

Practitioners & affiliated clinicians

Practitioners 4

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1861659484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11048 BAYMEADOWS RD",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569699",
            "telephone_number": "904-733-7393",
            "fax_number": "904-363-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11048 BAYMEADOWS RD",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569699",
            "telephone_number": "904-733-7393",
            "fax_number": "904-363-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN NATHANS FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "NATHANS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-733-7393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.