Active NPI
Jaysen Torrey Sudnykovych, D.C.
- Chiropractor
- West Palm Beach, FL
National Provider Identifier
1992864466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 9217
- Practice address
- 8409 N Military TRL
Suite 113
West Palm Beach, FL 33410-6316 - Phone
- (561) 630-9495
- Fax
- (561) 253-0845
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 9217 | FL | Primary |
Addresses
Primary practice location
8409 N Military TRL
Suite 113
West Palm Beach, FL 33410-6316
Mailing address
8409 N Military TRL
Suite 113
West Palm Beach, FL 33410-6316
Phone (561) 630-9495
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 9217 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1992864466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8409 N MILITARY TRL",
"address_2": "SUITE 113",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334106316",
"telephone_number": "561-630-9495",
"fax_number": "561-253-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8409 N MILITARY TRL",
"address_2": "SUITE 113",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334106316",
"telephone_number": "561-630-9495",
"fax_number": "561-253-0845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDNYKOVYCH",
"first_name": "JAYSEN",
"middle_name": "TORREY",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 9217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.