Old Tarpon Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH1469 Issued in FL

Legal business name

OLD TARPON CHIROPRACTIC PA

Practice address

4630 Darlington Rd
Holiday, FL 34690-3906

Phone

(727) 942-1618

NPI assigned

Sep 29, 2010

Last updated

Sep 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alton J Gustafson, D CNPI 1447448360

Title

President

Phone

(727) 942-1618

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alton J Gustafson, DC

  • Chiropractor
  • Tarpon Springs, FL
  • NPI 1447448360
  Authorized official Same address or phone

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1972812642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 DARLINGTON RD",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346903906",
            "telephone_number": "727-942-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 DARLINGTON RD",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346903906",
            "telephone_number": "727-942-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TARPON CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "ALTON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-942-1618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH1469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marguerite Norman, PAC
• Nueroscience Associates of West Pasco
• Kimberley Ilene Nunn-Crawford, LMHC
• Francis K.S. Oey, M.D.
• Ada Ojobo
• Optimum Medical Billing L.L.C.
• Ivonn Marcela Ortega, ARNP
• Mary Frances Osborne, RN
• Jennifer Otano Gonzalez
• Katherine Palma Diaz

• Chiropractor in Holiday, FL
• Providers in Holiday, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.