Active NPI
David Aaron Fontz, D.C.
- Chiropractor
- Pensacola, FL
National Provider Identifier
1003972662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7994
- Practice address
- 5700 N Blue Angel Pkwy
Pensacola, FL 32526-1620 - Phone
- (850) 453-2211
- Fax
- (850) 453-3366
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH7994 | FL | Primary |
Addresses
Primary practice location
5700 N Blue Angel Pkwy
Pensacola, FL 32526-1620
Mailing address
5700 N Blue Angel Pkwy
Pensacola, FL 32526-1620
Phone (850) 453-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22348 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1003972662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 N BLUE ANGEL PKWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325261620",
"telephone_number": "850-453-2211",
"fax_number": "850-453-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 N BLUE ANGEL PKWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325261620",
"telephone_number": "850-453-2211",
"fax_number": "850-453-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTZ",
"first_name": "DAVID",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "22348",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.