Organization Active NPI

Chiropractic in the Park, Inc.

  • Sports Physician Chiropractor
  • Pinellas Park, FL
National Provider Identifier
1932144631
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH7061 Issued in FL
Legal business name
CHIROPRACTIC IN THE PARK, INC.
Practice address
8695 66TH St
Pinellas Park, FL 33782-4527
Phone
(727) 547-8615
Fax
(727) 547-0918
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Dr. Anna Louise Laurance, D.C.
Title
Owner
Phone
(727) 547-8615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X CH7061 FL Primary

Addresses

Primary practice location

8695 66TH St
Pinellas Park, FL 33782-4527

Mailing address

8695 66TH St
Pinellas Park, FL 33782-4527
Phone (727) 547-8615

Other identifiers 1

IdentifierTypeStateIssuer
381162000MedicaidFL

National Provider Directory

National Provider Directory

Locations

8695 66th St N
Pinellas Park, FL 33782
Phone (727) 547-8615

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1932144631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 66TH ST",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824527",
            "telephone_number": "727-547-8615",
            "fax_number": "727-547-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8695 66TH ST",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824527",
            "telephone_number": "727-547-8615",
            "fax_number": "727-547-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC IN THE PARK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "LAURANCE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-547-8615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH7061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381162000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.