Active NPI
Samuel Evenstein, D.C.
- Chiropractor
- Tampa, FL
National Provider Identifier
1033488390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 11647
- Practice address
- 6802 W Hillsborough Ave
Tampa, FL 33634-5004 - Phone
- (813) 890-8811
- Fax
- (813) 890-0088
- NPI assigned
- Dec 15, 2011
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA-53141 | FL | |
| Chiropractor | 111N00000X | CH 11647 | FL | Primary |
Addresses
Primary practice location
6802 W Hillsborough Ave
Tampa, FL 33634-5004
Mailing address
6802 W Hillsborough Ave
Tampa, FL 33634-5004
Phone (813) 890-8811
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 11647 | FL | MD | Chiropractor |
| MA-53141 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1033488390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6802 W HILLSBOROUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336345004",
"telephone_number": "813-890-8811",
"fax_number": "813-890-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6802 W HILLSBOROUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336345004",
"telephone_number": "813-890-8811",
"fax_number": "813-890-0088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVENSTEIN",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-15",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA-53141",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 11647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.