Individual provider Active NPI

Jon Paul Fritz, DC

  • Chiropractor
  • Fleming Island, FL
National Provider Identifier
1992009005
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10181 Issued in FL
Practice address
1605 County Road 220
Suite 165
Fleming Island, FL 32003-4908
Phone
(904) 425-9060
Fax
(904) 425-9061
NPI assigned
Jan 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10181 FL Primary

Addresses

Primary practice location

1605 County Road 220
Suite 165
Fleming Island, FL 32003-4908

Mailing address

1605 County Road 220
Ste165
Fleming Island, FL 32003-4908
Phone (904) 425-9060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH10181FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Select Health and Wellness LLC Current Accepting new patients
Select Wound Care LLC Current Accepting new patients
Select Health and Wellness Chiropractor Current Accepting new patients

Locations

1605 County Road 220
Ste 165
Orange Park, FL 32003
Phone (904) 425-9060

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1992009005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 COUNTY ROAD 220",
            "address_2": "STE165",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034908",
            "telephone_number": "904-425-9060",
            "fax_number": "904-425-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 COUNTY ROAD 220",
            "address_2": "SUITE 165",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034908",
            "telephone_number": "904-425-9060",
            "fax_number": "904-425-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "JON PAUL",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-04",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.