Sovereignty Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SOVEREIGNTY CHIROPRACTIC INC

Practice address

2626 Cypress Ridge Blvd
Wesley Chapel, FL 33544-6315

Phone

(813) 560-5323

Fax

(813) 863-1911

NPI assigned

Jul 31, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Scott Councilman II, DC

Title

Owner/Chiropractor

Phone

(813) 560-5323

Specialties & licenses 1

Addresses

Other names 1

• Sovereignty Chiropractic Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1972284990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 PELICAN REED CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335455158",
            "telephone_number": "919-356-5680",
            "fax_number": "813-863-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CYPRESS RIDGE BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446315",
            "telephone_number": "813-560-5323",
            "fax_number": "813-863-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGNTY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "COUNCILMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "813-560-5323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sovereignty Chiropractic Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Chiropractor in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.