Active NPI
Michael Christian Chanatry, D.C
- Chiropractor
- Jacksonville, FL
National Provider Identifier
1881932754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10814
- Practice address
- 2711 University Blvd N
Jacksonville, FL 32211-3235 - Phone
- (904) 743-6700
- Fax
- (904) 745-9101
- NPI assigned
- Jan 28, 2013
- Last updated
- Jan 28, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10814 | FL | Primary |
Addresses
Primary practice location
2711 University Blvd N
Jacksonville, FL 32211-3235
Mailing address
2711 University Blvd N
Jacksonville, FL 32211-3235
Phone (904) 743-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2711 University Blvd N
Jacksonville, FL 32211-3235
Phone (904) 743-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH10814 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chanatrydc, LLC | Chiropractor | Current | Accepting new patients |
Locations
2711 University Blvd N
Jacksonville, FL 32211
Phone (904) 473-6700
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1881932754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 UNIVERSITY BLVD N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322113235",
"telephone_number": "904-743-6700",
"fax_number": "904-745-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 UNIVERSITY BLVD N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322113235",
"telephone_number": "904-743-6700",
"fax_number": "904-745-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANATRY",
"first_name": "MICHAEL",
"middle_name": "CHRISTIAN",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-28",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.