Organization Active NPI

Bayou Chiropractic Center P.L.

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1962770750
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10432,CH5871,5894 Issued in FL
Legal business name
BAYOU CHIROPRACTIC CENTER P.L.
Practice address
4761-6 Bayou Blvd
Pensacola, FL 32503
Phone
(850) 476-1887
Fax
(850) 476-0709
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Mr. Steven C Mills
Title
Owner/President
Phone
(850) 476-1887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10432,CH5871,5894 FL Primary

Addresses

Primary practice location

4761-6 Bayou Blvd
Pensacola, FL 32503

Mailing address

4761-6 Bayou Blvd.
Pensacola, FL 32503
Phone (850) 476-1887

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1962770750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4761-6 BAYOU BLVD.",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-476-1887",
            "fax_number": "850-476-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761-6 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-476-1887",
            "fax_number": "850-476-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU CHIROPRACTIC CENTER P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "850-476-1887",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10432,CH5871,5894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.