Active NPI
James R Claeys, D.C., A.P.
- Chiropractor
- Melbourne, FL
National Provider Identifier
1013454768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 12004
- Practice address
- 1310 W Eau Gallie Blvd Ste a
Melbourne, FL 32935-5300 - Phone
- (321) 312-0585
- NPI assigned
- Jan 19, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 12004 | FL | Primary |
Addresses
Primary practice location
1310 W Eau Gallie Blvd Ste a
Melbourne, FL 32935-5300
Mailing address
1310 W Eau Gallie Blvd Ste a
Melbourne, FL 32935-5300
Phone (321) 312-0585
Other practice location 1
1310 W Eau Gallie Blvd
Melbourne, FL 32935-5300
Phone (321) 254-3630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IY395Z | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jclaeys@restorewc.com | Direct |
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
- Palmer College Chiropractic - Davenport, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1310 W Eau Gallie Blvd
Suite a
Melbourne, FL 32935-5300
Phone (321) 312-0585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 12004 | FL | MD | Chiropractor |
Networks
- FL HMO
- FL PPO
- FL HMO C-SNP
- FL HMO D-SNP
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.
-
- Health Service Clinic/Center
- Melbourne, FL
- NPI 1588102297
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1013454768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 W EAU GALLIE BLVD STE A",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329355300",
"telephone_number": "321-312-0585",
"fax_number": "321-622-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 W EAU GALLIE BLVD STE A",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329355300",
"telephone_number": "321-312-0585"
}
],
"practiceLocations": [
{
"address_1": "1310 W Eau Gallie Blvd",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329355300",
"country_code": "US",
"telephone_number": "321-254-3630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLAEYS",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C., A.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-19",
"last_updated": "2021-06-07",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 12004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "IY395Z",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jclaeys@restorewc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1990 W New Haven Ave Ste 105",
"city": "Melbourne",
"state": "FL",
"country_code": "US",
"postal_code": "329043908",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.