Premier Health Ormond, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10080 Issued in FL

Legal business name

PREMIER HEALTH ORMOND, INC

Practice address

325 Clyde Morris Blvd
Suite #390
Ormond Beach, FL 32174-8178

Phone

(386) 872-3600

Fax

(386) 615-9137

NPI assigned

Feb 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Burnham, D.C.

Title

Chiropractic Services Director

Phone

(386) 872-3600

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1922370246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "address_2": "SUITE #390",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748178",
            "telephone_number": "386-872-3600",
            "fax_number": "386-615-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "address_2": "SUITE #390",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748178",
            "telephone_number": "386-872-3600",
            "fax_number": "386-615-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH ORMOND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "BURNHAM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIROPRACTIC SERVICES DIRECTOR",
        "authorized_official_telephone_number": "386-872-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10080",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "057503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Progressive Physical Therapy Inc

• Chiropractor in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.