Organization Active NPI

Priest Chiropractic Inc

  • Orthopedic Chiropractor
  • Melbourne, FL
National Provider Identifier
1962671776
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
CH4353 Issued in FL
Legal business name
PRIEST CHIROPRACTIC INC
Practice address
2755 N Wickham Rd Ste 104
Melbourne, FL 32935-2226
Phone
(321) 254-3888
Fax
(321) 254-0097
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Dr. Gregory Charles Priest, DC
Title
Ceo
Phone
(321) 254-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X CH4353 FL Primary

Addresses

Primary practice location

2755 N Wickham Rd Ste 104
Melbourne, FL 32935-2226

Mailing address

2755 N Wickham Rd Ste 104
Melbourne, FL 32935-2226
Phone (321) 254-3888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1962671776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 N WICKHAM RD STE 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352226",
            "telephone_number": "321-254-3888",
            "fax_number": "321-254-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 N WICKHAM RD STE 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352226",
            "telephone_number": "321-254-3888",
            "fax_number": "321-254-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIEST CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "PRIEST",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-254-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "FL",
            "license": "CH4353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.