Organization Active NPI

The Emerald Chiropractic Co LLC

  • Chiropractor
  • Navarre, FL
National Provider Identifier
1891521274
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THE EMERALD CHIROPRACTIC CO LLC
Practice address
9200 Navarre Pkwy Ste E
Navarre, FL 32566-2977
Phone
(850) 939-2200
NPI assigned
Sep 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Dr. Isaac Hernandez, DCNPI 1285935510
Title
Owner
Phone
(850) 939-2200

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

9200 Navarre Pkwy Ste E
Navarre, FL 32566-2977

Mailing address

8027 Twin Ceder Dr
Milton, FL 32583-2999
Phone (850) 939-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250429003636 FL Part B Supplier - Clinic/Group Practice 0143751545 Receives reassigned benefits from 2 practitioners
Practice locations: Navarre, FL

National Provider Directory

National Provider Directory

Locations

9200 Navarre Pkwy
#E
Navarre, FL 32566
Phone (850) 936-8664

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": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1891521274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8027 TWIN CEDER DR",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325832999",
            "telephone_number": "850-939-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 NAVARRE PKWY STE E",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662977",
            "telephone_number": "850-939-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EMERALD CHIROPRACTIC CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-939-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.