Seaside Spine Crestview LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SEASIDE SPINE CRESTVIEW LLC

Practice address

610 Hospital Dr
Crestview, FL 32539-7356

Phone

(850) 460-2362

NPI assigned

Mar 4, 2019

Organization subpart

Yes

Parent organization

SEASIDE SPINE LLCAs reported in NPPES

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

Authorized official

Name

Miss Ashlyn Newby

Title

Office Manager

Phone

(850) 460-2362

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

Seaside Spine LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Seaside Spine LLC

  • Chiropractor
  • Destin, FL
  • NPI 1215313705
  NPPES parent name

Practitioners 4

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

• Samuel Jonathan Barbee, D.C.

  • Chiropractor
  • Destin, FL
  • NPI 1477974236
  Medicare reassignment NPD
• Samuel Tyler Elsasser, DC

  • Chiropractor
  • Tallahassee, FL
  • NPI 1265945786
  Medicare reassignment NPD
• Halley Alexandra Herrera, DC

  • Chiropractor
  • Panama City, FL
  • NPI 1497364558
  Medicare reassignment NPD
• Gabriel Rizzo, DC, CFMP, ABAAHP

  • Chiropractor
  • Crestview, FL
  • NPI 1568944064
  Medicare reassignment NPD

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1881152353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 HIGHWAY 98 E STE 9",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412588",
            "telephone_number": "850-460-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HOSPITAL DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325397356",
            "telephone_number": "850-460-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE SPINE CRESTVIEW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEASIDE SPINE LLC",
        "enumeration_date": "2019-03-04",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "NEWBY",
        "authorized_official_first_name": "ASHLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-460-2362",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicky Susan Schwartz, APRN
• Kayla Scott, APRN
• Sonia Haydee Scott, DOULA
• Terika R Scott
• Orin Aldo Seager, MD
• Mary Seidenfaden
• Sergio J Cabrera MD PL
• Donald Sexton, PA-C
• Jason G Seymour, D.M.D.
• Fady Shaaban, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.