Organization Active NPI

Christie Chiropractic Inc.

  • Chiropractor
  • Melbourne, FL
National Provider Identifier
1891332201
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHRISTIE CHIROPRACTIC INC.
Practice address
1501 Avocado Ave Ste 1
Melbourne, FL 32935-6593
Phone
(321) 339-8876
Fax
(321) 541-9114
NPI assigned
Dec 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Tiffany ChristieNPI 1710268271
Title
Owner
Phone
(321) 339-8876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1501 Avocado Ave Ste 1
Melbourne, FL 32935-6593

Mailing address

PO Box 360864
Melbourne, FL 32936-0864
Phone (321) 339-8876

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.christiechiropractic.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200420000180 FL Part B Supplier - Clinic/Group Practice 5890125603 Receives reassigned benefits from 2 practitioners
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Locations

1501 Avocado Ave
Melbourne, FL 32935
Phone (321) 339-8876

1501 Avocado Ave
Ste 1
Melbourne, FL 32935
Phone (321) 339-8876

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1891332201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360864",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329360864",
            "telephone_number": "321-339-8876",
            "fax_number": "321-541-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 AVOCADO AVE STE 1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329356593",
            "telephone_number": "321-339-8876",
            "fax_number": "321-541-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-339-8876"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.christiechiropractic.com",
            "affiliation": "N",
            "address_1": "1501 Avocado Ave Ste 1",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329356593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.