Kingdom Chiropractic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH11209 Issued in FL

Legal business name

KINGDOM CHIROPRACTIC

Practice address

1484 Gulf to Bay Blvd
Clearwater, FL 33755-5358

Phone

(813) 434-1045

NPI assigned

May 15, 2017

Last updated

May 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fredrick Williams, DCNPI 1962801613

Title

Chiropractor

Phone

(813) 434-1045

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fredrick Thomas Williams Jr., D.C.

  • Chiropractor
  • Tampa, FL
  • NPI 1962801613
  Authorized official Same address or phone

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494806400000",
    "number": "1881121473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 GULF TO BAY BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337555358",
            "telephone_number": "813-434-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 GULF TO BAY BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337555358",
            "telephone_number": "813-434-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "813-434-1045",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH11209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN",
            "identifier": "4614444750",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962801613",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James King, LMHC
• Jessie King
• Marilyn Yi-Mei King, MD
• Shala King
• Kingdom Chiropractic
• Scarlett A Kinley, D.P.M.
• Kinlu LLC (Heritage House Alf)
• Jillian Theresa Kinney, MS
• Wendy Jean Kinney, AA
• Kinpel Inc (Magnolia Manor)

• Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; 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.