FLORIDA COAST CHIROPRACTIC CLINIC INCORPORATED
NPI 1740725761
Chiropractor in Port Orange, FL

Active since December 29, 2016
3821 WOODBRIAR TRAIL, SUITE 3, PORT ORANGE, FL 32129(386) 265-1579(386) 265-1579 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2021, Oct 14, 2020, Jan 16, 2018 and 1 more (4 updates tracked since 2016).

About Florida Coast Chiropractic Clinic Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA COAST CHIROPRACTIC CLINIC INCORPORATED (NPI 1740725761) is a healthcare organization registered as a chiropractor in Port Orange, Florida and active in the NPI registry since December 2016. The organization lists Chris Tatalovich, Owner, as its authorized official.

NPPES Registry Identity

NPI1740725761
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFLORIDA COAST CHIROPRACTIC CLINIC INCORPORATED
Location Address3821 WOODBRIAR TRAIL, SUITE 3Port Orange, FL 32129
Mailing Address3821 Woodbriar Trail, Suite 3Port Orange, FL 32129 · (386) 265-1579 · Fax (386) 265-1579
Fax(386) 265-1579
Organization SubpartNo
Authorized OfficialChris TatalovichOwner · (386) 265-1579
Enumeration DateDecember 29, 2016
Last NPPES UpdateApril 8, 20214 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
✔ NPI 1740725761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH9744
Definition
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.
3821 WOODBRIAR TRAIL, Port Orange, FL 32129

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Florida Coast Chiropractic Clinic Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Florida Coast Chiropractic Clinic Incorporated, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1700014685
3821 WOODBRIAR TRAIL
Port Orange, FL 32129
(386) 265-1579
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Coast Chiropractic Clinic Incorporated's NPI number?

The NPI number for Florida Coast Chiropractic Clinic Incorporated is 1740725761. It was assigned to this organization in the NPPES registry on December 29, 2016.

Where is Florida Coast Chiropractic Clinic Incorporated located?

Florida Coast Chiropractic Clinic Incorporated is located at 3821 Woodbriar Trail Suite 3, Port Orange, FL 32129. The listed phone number is (386) 265-1579.

What is Florida Coast Chiropractic Clinic Incorporated's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Florida Coast Chiropractic Clinic Incorporated enrolled in Medicare?

Yes. Florida Coast Chiropractic Clinic Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Florida Coast Chiropractic Clinic Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Florida Coast Chiropractic Clinic Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Florida Coast Chiropractic Clinic Incorporated accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Florida Coast Chiropractic Clinic Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Coast Chiropractic Clinic Incorporated was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.