Old Kings Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OLD KINGS CHIROPRACTIC LLC

Practice address

99 Old Kings Rd S Ste 4
Flagler Beach, FL 32136-4356

Phone

(386) 693-4095

Fax

(866) 711-2736

NPI assigned

Aug 20, 2021

Last updated

Aug 20, 2021By 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

Dr. Michael James Sambursky, DCNPI 1336603083

Title

Operator

Phone

(386) 693-4095

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Michael Sambursky, DC

  • Chiropractor
  • Flagler Beach, FL
  • NPI 1336603083
  Authorized official Same address or phone

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1881360642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 OLD KINGS RD S STE 4",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321364356",
            "telephone_number": "386-693-4095",
            "fax_number": "866-711-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 OLD KINGS RD S STE 4",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321364356",
            "telephone_number": "386-693-4095",
            "fax_number": "866-711-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD KINGS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "SAMBURSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "386-693-4095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.oldkingschiro.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "99 Old Kings Rd S Ste 4",
            "city": "Flagler Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321364356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane Neighmond
• Tina Hieu Nguyen
• Gertrude Morgan Nordmeier, LMHC
• Oceanshore Family Medical Center, PLLC
• Oceanside Injury Physicians
• Open Compass Counseling LLC
• Ericka Ortiz, BSN, RN
• Katie Ostrander
• Brandy Irene Parker
• Prashant K Patel, MS, MBA, R PH

• Chiropractor in Flagler Beach, FL
• Providers in Flagler Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.