Active NPI
David Brian Bass, D.C., A.P.
- Chiropractor
- Sunrise, FL
National Provider Identifier
1003026485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH3178
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CV878A | Other | FL | MEDICARE PTAN# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP1911 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neck and Back Pain Institute, Inc | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Coral Springs, FL
- NPI 1831428366
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.