BEACHSIDE CHIROPRACTIC, INC (NPI# 1972899409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972899409 |
| Entity Type | Organization |
| Organization Name | BEACHSIDE CHIROPRACTIC, INC |
| Practice Address |
940 N Halifax Ave Clinic Daytona Beach FL 32118-3733 |
| Practice Telephone | 3862554338 |
| Practice Fax Number | 3862481104 |
| Mailing Telephone | 3862554338 |
| Mailing Fax Number | 3862481104 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |
| Authorized Official Name | DR. CATHY E MOUTSOPOULOS (OWNER/DOCTOR) |
| Authorized Official Telephone | 3862554338 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 7702 | FL | Chiropractic Providers |
| Street Address |
940 N HALIFAX AVE CLINIC |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32118-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407476633 | Adel Demetrious | Dentist | 2727 North Atlantic, Ave, Suite 121, Dayton Beach, FL 32118 | 2020-04-17 |
| 1518433804 | Tara James | Nurse Practitioner | 224 Seabreeze Blvd, Daytona Beach, FL 32118 | 2018-10-15 |
| 1760835706 | Barbara Fuller | Early Intervention Provider Agency | 125 Cheshire Rd, Daytona Beach, FL 32118 | 2016-07-14 |
| 1821486457 | Emily Catherine Lounsbury | Nurse Practitioner | 3512 South Atlantic Avenue, Daytona Beach Shores, FL 32118 | 2015-01-06 |
| 1215334370 | Shores Medical Center | Nurse Practitioner | 3512 S Atlantic Blvd, Daytona Beach Shores, FL 32118 | 2014-12-04 |
| 1619305075 | Kimberly Barr Beck-frate | Counselor | 444 Seabreeze Blvd., Integrative Crisis Management, Suite 725, Daytona Beach, FL 32118 | 2013-10-23 |
| 1104190792 | Demetrius Marketing LLC | Dentist | 2570 South Atlantic Ave., Marina Dental Center, Daytona Beach Shores, FL 32118 | 2012-02-29 |
| 1255603189 | A1a Medical | General Practice | 1401 North Atlantic Avenue, Daytona Beach, FL 32118 | 2012-02-08 |
| 1184755654 | David Gaughan | Physical Medicine & Rehabilitation | 3512 S Atlantic Av., Daytona Beach Shores, FL 32118 | 2007-03-08 |
| 1952497612 | Ability Health Services, Inc | Durable Medical Equipment & Medical Supplies | 614 N. Penisula Dr, Daytona Beach, FL 32118 | 2006-10-04 |
| Find all providers in zip 32118 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669946638 | Ryan Adam Revels | Chiropractor | 433 Silver Beach Ave Ste 101, Daytona Beach, FL 32118-7104 | 2019-01-14 |
| 1922594472 | Josh Clark | Chiropractor | 1620 S Clyde Morris Blvd, Daytona Beach, FL 32119-9020 | 2018-07-09 |
| 1447706163 | Christopher Ali Amirzadeh | Chiropractor | 152 W Sandalwood Ct, Daytona Beach, FL 32119-1465 | 2016-09-01 |
| 1427415421 | Lucy B Mckinniss | Chiropractor | 1620 S Clyde Morris Blvd Ste 200, Daytona Beach, FL 32119-9008 | 2016-01-21 |
| 1871968313 | Kristine Georgia Lamana | Chiropractor | 240 S. Palmetto Ave, Daytona Beach, FL 32114 | 2015-12-09 |
| 1821484387 | Taylor Hoeffert | Chiropractor | 211 E International Speedway Blvd, Suite 202, Daytona Beach, FL 32118-4689 | 2015-04-11 |
| 1235556218 | John Nelson | Chiropractor | 115 S Palmetto Ave, Daytona Beach, FL 32114-4319 | 2014-03-27 |
| 1710300363 | Elizabeth Echevarria | Chiropractor | 1200 Beville Rd, Daytona Beach, FL 32114 | 2014-01-31 |
| 1164852760 | Jaime Perez Melendez | Chiropractor | 600 N Clyde Morris Blvd, Suite 2, Daytona Beach, FL 32114-2322 | 2013-11-18 |
| 1346500501 | Amy Lynn Wolf | Chiropractor | 206 S Beach St, Daytona Beach, FL 32114-4404 | 2012-05-22 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32118 |
Please comment or provide details below to improve the information on BEACHSIDE CHIROPRACTIC, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.