Organization Active NPI

Underhill Chiropractic LLC

  • Chiropractor
  • New Smyrna Beach, FL
National Provider Identifier
1912318601
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10415 Issued in FL
Legal business name
UNDERHILL CHIROPRACTIC LLC
Practice address
401 Canal St
New Smyrna Beach, FL 32168-7009
Phone
(386) 690-0816
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Dr. Ronald Lindsey Underhill III, D.C.
Title
Owner
Phone
(386) 690-0816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 10415 FL Primary

Addresses

Primary practice location

401 Canal St
New Smyrna Beach, FL 32168-7009

Mailing address

314 Citrus Open Dr
New Smyrna Beach, FL 32168-6194
Phone (334) 655-8455

National Provider Directory

National Provider Directory

Locations

401 Canal St
New Smyrna Beach, FL 32168
Phone (386) 427-2722

1712 State Road 44
New Smyrna Beach, FL 32168
Phone (386) 410-8030

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1912318601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CITRUS OPEN DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686194",
            "telephone_number": "334-655-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CANAL ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687009",
            "telephone_number": "386-690-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERHILL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "UNDERHILL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-690-0816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.