David K. Rouse, D.C., P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH2499 Issued in FL

Legal business name

DAVID K. ROUSE, D.C., P.A.

Practice address

2711 University Blvd N
Jacksonville, FL 32211-3235

Phone

(904) 743-6700

Fax

(904) 745-9101

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David King Rouse, DC

Title

President

Phone

(904) 743-6700

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Rouse Chiropractic Clinic Other name

Locations

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1003019803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 UNIVERSITY BLVD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322113235",
            "telephone_number": "904-743-6700",
            "fax_number": "904-745-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 UNIVERSITY BLVD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322113235",
            "telephone_number": "904-743-6700",
            "fax_number": "904-745-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K. ROUSE, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-743-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05766",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89874",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "283900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4284579",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rouse Chiropractic Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.