CG1 Chiropractic Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8278 Issued in FL

Legal business name

CG1 CHIROPRACTIC CLINIC, INC.

Practice address

16102 N Florida Ave
Lutz, FL 33549-6129

Phone

(813) 909-7171

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dominador Reyno Uy Jr.NPI 1073724621

Title

Chiropractic Physician

Phone

(813) 909-7171

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominador Reyno Uy Jr., D.C.

  • Chiropractor
  • Lutz, FL
  • NPI 1073724621
  NPD (past) Authorized official

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1861685125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16102 N FLORIDA AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496129",
            "telephone_number": "813-909-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16102 N FLORIDA AVE",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496129",
            "telephone_number": "813-909-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CG1 CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "UY",
        "authorized_official_first_name": "DOMINADOR",
        "authorized_official_middle_name": "REYNO",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "813-909-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Lutz, FL
• Providers in Lutz, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.