Prime Care Chiropractic Centers,P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7537 Issued in FL

Legal business name

PRIME CARE CHIROPRACTIC CENTERS,P.A.

Practice address

1400 Havendale Blvd NW
Winter Haven, FL 33881-5302

Phone

(863) 294-3109

Fax

(863) 293-0078

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Riley Thomsen, D.C.NPI 1336118827

Title

President

Phone

(863) 294-3109

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Riley Thomsen, D.C.

  • Chiropractor
  • Winter Haven, FL
  • NPI 1336118827
  Medicare reassignment NPD Authorized official
• Jason Tucker Thomsen, DC

  • Chiropractor
  • Provo, UT
  • NPI 1932676624
  NPD (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1982889523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HAVENDALE BLVD NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338815302",
            "telephone_number": "863-294-3109",
            "fax_number": "863-293-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HAVENDALE BLVD NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338815302",
            "telephone_number": "863-294-3109",
            "fax_number": "863-293-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE CHIROPRACTIC CENTERS,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "THOMSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RILEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-294-3109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "55721",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "628545",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Care Centre LLC
• Cassia Grace Price
• Blas Christian Prieto, DO
• Jose Luis Prieto, D.O.
• Primary Choice Medical Supplies LLC
• Prime Care Medical Centers LLC
• Prime Radiology of Winter Haven, Inc.
• Priority Care Inc
• Priority Health Chiropractic LLC
• Pro Services Medical Supply LLC

• Chiropractor in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.