Joshua Andrew Imig, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10132 Issued in FL

Practice address

2301 Tamiami TRL Ste a
Port Charlotte, FL 33952-3907

Phone

(941) 627-3711

Fax

(941) 627-0696

NPI assigned

Oct 27, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gulf Coast Chiropractic Center, P.a.

  • Chiropractor
  • Port Charlotte, FL
  • NPI 1689974925
  Medicare reassignment

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1881994622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 TAMIAMI TRL STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339523907",
            "telephone_number": "941-627-3711",
            "fax_number": "941-627-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 TAMIAMI TRL STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339523907",
            "telephone_number": "941-627-3711",
            "fax_number": "941-627-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMIG",
        "first_name": "JOSHUA",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.