Organization Active NPI

Beach Chiropractic, Inc.

  • Chiropractor
  • Cocoa Beach, FL
National Provider Identifier
1932689833
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9397 Issued in FL
Legal business name
BEACH CHIROPRACTIC, INC.
Practice address
3000 N Atlantic Ave Ste 105
Cocoa Beach, FL 32931-5060
Phone
(321) 868-2225
NPI assigned
Aug 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Dr. Christa Robben, DCNPI 1699971218
Title
Owner
Phone
(321) 258-1661

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 9397 FL Primary

Addresses

Primary practice location

3000 N Atlantic Ave Ste 105
Cocoa Beach, FL 32931-5060

Mailing address

3000 N Atlantic Ave Ste 105
Cocoa Beach, FL 32931-5060
Phone (321) 868-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181009002982 FL Part B Supplier - Clinic/Group Practice 7416209093 Receives reassigned benefits from 1 practitioner
Practice locations: Cocoa Beach, FL

National Provider Directory

National Provider Directory

Locations

3000 N Atlantic Ave
Ste 105
Cocoa Beach, FL 32931
Phone (321) 868-2225

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": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1932689833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N ATLANTIC AVE STE 105",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329315060",
            "telephone_number": "321-868-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N ATLANTIC AVE STE 105",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329315060",
            "telephone_number": "321-868-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "ROBBEN",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-258-1661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.