Organization Active NPI

Advance Chiropractic Adjustment, Inc.

  • Chiropractor
  • Haines City, FL
National Provider Identifier
1992911200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVANCE CHIROPRACTIC ADJUSTMENT, INC.
Practice address
280 Patterson Rd Ste 2
Haines City, FL 33844-6261
Phone
(863) 421-8687
Fax
(863) 421-8670
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Anne-Ruthe Mercier
Title
President
Phone
(863) 521-0677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

280 Patterson Rd Ste 2
Haines City, FL 33844-6261

Mailing address

3643 Wimbledon LN
Davenport, FL 33837-8698
Phone (863) 521-0677

Other identifiers 1

IdentifierTypeStateIssuer
HCC7316OtherFLHEALTH CARE CLINIC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992911200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 WIMBLEDON LN",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378698",
            "telephone_number": "863-521-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PATTERSON RD STE 2",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446261",
            "telephone_number": "863-421-8687",
            "fax_number": "863-421-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CHIROPRACTIC ADJUSTMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERCIER",
        "authorized_official_first_name": "ANNE-RUTHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-521-0677",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE CLINIC",
            "identifier": "HCC7316",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.