Organization Active NPI

Core Chiropractic and Wellness, LLC

  • Chiropractor
  • New Port Richey, FL
National Provider Identifier
1871807198
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9047 Issued in FL
Legal business name
CORE CHIROPRACTIC AND WELLNESS, LLC
Practice address
5323 Main St
New Port Richey, FL 34652-2510
Phone
(727) 807-7020
Fax
(727) 807-7021
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Vivian Montemayor, D.C.NPI 1942216767
Title
Owner/Doctor
Phone
(727) 807-7020

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 CH 9047 FL Primary

Addresses

Primary practice location

5323 Main St
New Port Richey, FL 34652-2510

Mailing address

5323 Main St
New Port Richey, FL 34652-2510
Phone (727) 807-7020

Other practice location 1

4900 US Highway 19
New Port Richey, FL 34652-4251
Phone (727) 807-7020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101103001258 FL Part B Supplier - Clinic/Group Practice 6204020209 Receives reassigned benefits from 1 practitioner
Practice locations: New Port Richey, FL

National Provider Directory

National Provider Directory

Locations

5323 Main St
New Port Richey, FL 34652
Phone (727) 807-7020

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": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1871807198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 MAIN ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522510",
            "telephone_number": "727-807-7020",
            "fax_number": "727-807-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 MAIN ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522510",
            "telephone_number": "727-807-7020",
            "fax_number": "727-807-7021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 US Highway 19",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346524251",
            "country_code": "US",
            "telephone_number": "727-807-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORE CHIROPRACTIC AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "MONTEMAYOR",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "727-807-7020",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.