Active NPI
Hartley Chiropractic and Scoliosis Center, P.a.
- Chiropractor
- Saint Augustine, FL
National Provider Identifier
1962952101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH06696
- Legal business name
- HARTLEY CHIROPRACTIC AND SCOLIOSIS CENTER, P.A.
- Practice address
- 1740 Tree Blvd
#115
Saint Augustine, FL 32084-5720 - Phone
- (904) 679-3233
- NPI assigned
- Oct 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. J Edward Hartley, D.C.
- Title
- Owner/President
- Phone
- (904) 679-3233
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH06696 | FL | Primary |
Addresses
Primary practice location
1740 Tree Blvd
#115
Saint Augustine, FL 32084-5720
Mailing address
1740 Tree Blvd
#115
Saint Augustine, FL 32084-5720
Phone (904) 679-3233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1740 Tree Blvd
Ste 115
St Augustine, FL 32084
Phone (904) 679-3233
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Chiropractor
- Saint Augustine, FL
- NPI 1750458378
-
- Chiropractor
- Daytona Beach, FL
- NPI 1326289778
-
- Chiropractor
- Georgetown, TN
- NPI 1467772954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476230400000",
"number": "1962952101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 TREE BLVD",
"address_2": "#115",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320845720",
"telephone_number": "904-679-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 TREE BLVD",
"address_2": "#115",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320845720",
"telephone_number": "904-679-3233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARTLEY CHIROPRACTIC AND SCOLIOSIS CENTER, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-12",
"last_updated": "2016-10-12",
"status": "A",
"authorized_official_last_name": "HARTLEY",
"authorized_official_first_name": "J",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "904-679-3233",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH06696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.