Organization Active NPI

JNM Wellness

  • Chiropractor
  • Lutz, FL
National Provider Identifier
1922691260
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JNM WELLNESS
Doing business as
Suncoast Chiropractic and Rehab
Practice address
18857 State Road 54
Lutz, FL 33558-8201
Phone
(305) 371-3339
NPI assigned
Feb 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Nathan Smith
Title
Billing Manager
Phone
(810) 358-8749

Specialties & licenses 1

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

Addresses

Primary practice location

18857 State Road 54
Lutz, FL 33558-8201

Mailing address

18857 State Road 54
Lutz, FL 33558-8201
Phone (305) 371-3339

Other names 1

  • Suncoast Chiropractic and Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

18857 State Road 54
Lutz, FL 33558
Phone (214) 907-6611

Practitioners & affiliated clinicians

Practitioners 1

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": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1922691260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18857 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588201",
            "telephone_number": "305-371-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18857 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588201",
            "telephone_number": "305-371-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNM WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "810-358-8749"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncoast Chiropractic and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.