Active NPI
Thomas Alfred Romero, DC
- Neurology Chiropractor
- Ponte Vedra Beach, FL
National Provider Identifier
1861967879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 12560
- Practice address
- 151 Sawgrass Corners Dr Ste 102
Ponte Vedra Beach, FL 32082-3554 - Phone
- (904) 373-5852
- NPI assigned
- Oct 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 12560 | FL | Primary |
Addresses
Primary practice location
151 Sawgrass Corners Dr Ste 102
Ponte Vedra Beach, FL 32082-3554
Mailing address
151 Sawgrass Corners Dr Ste 102
Ponte Vedra Beach, FL 32082-3554
Phone (904) 373-5852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12560 | FL | MD | Neurology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538697600000",
"number": "1861967879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 SAWGRASS CORNERS DR STE 102",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320823554",
"telephone_number": "904-373-5852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 SAWGRASS CORNERS DR STE 102",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320823554",
"telephone_number": "904-373-5852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "THOMAS",
"middle_name": "ALFRED",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-05",
"last_updated": "2018-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "FL",
"license": "12560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.