Individual provider Active NPI

David Brian Bass, D.C., A.P.

  • Chiropractor
  • Sunrise, FL
National Provider Identifier
1003026485
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3178 Issued in FL
Practice address
1560 Sawgrass Corporate Pkwy
4TH Floor
Sunrise, FL 33323-2858
Phone
(954) 649-6540
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH3178 FL Primary
Acupuncturist 171100000X AP1911 FL

Addresses

Primary practice location

1560 Sawgrass Corporate Pkwy
4TH Floor
Sunrise, FL 33323-2858

Mailing address

9737 NW 65TH PL
Parkland, FL 33076-2315
Phone (954) 649-6540

Other identifiers 1

IdentifierTypeStateIssuer
CV878AOtherFLMEDICARE PTAN#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000299 FL Practitioner - Chiropractic 9739214792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10250 W Sample Rd
Coral Springs, FL 33065-3940
Phone (954) 575-4045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP1911FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Neck and Back Pain Institute, Inc CurrentSince Jul 11, 2014 Accepting new patients

Locations

10250 W Sample Rd
Coral Springs, FL 33065
Phone (954) 575-4045

10251 W Sample Rd
Coral Springs, FL 33065
Phone (954) 575-4045

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1003026485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9737 NW 65TH PL",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762315",
            "telephone_number": "954-649-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 SAWGRASS CORPORATE PKWY",
            "address_2": "4TH FLOOR",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232858",
            "telephone_number": "954-649-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "DAVID",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C., A.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3178",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1911",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN#",
            "identifier": "CV878A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.