Organization Active NPI

Optilife Chiropractic LLC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1033557038
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OPTILIFE CHIROPRACTIC LLC
Practice address
8333 Gunn Hwy
Tampa, FL 33626-1608
Phone
(813) 926-9500
Fax
(813) 433-5517
NPI assigned
Jun 12, 2013
Last updated
Jun 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Danielle Hoeffner, D.C.NPI 1427399245
Title
Owner/Chiropractor
Phone
(813) 926-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

8333 Gunn Hwy
Tampa, FL 33626-1608

Mailing address

8333 Gunn Hwy
Tampa, FL 33626-1608
Phone (813) 926-9500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130920000082 FL Part B Supplier - Clinic/Group Practice 7911141544 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

8377 Gunn Hwy
Tampa, FL 33626
Phone (813) 926-9500

Interoperability endpoints

  • Direct secure messaging: opti@ocl0002.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1033557038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261608",
            "telephone_number": "813-926-9500",
            "fax_number": "813-433-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261608",
            "telephone_number": "813-926-9500",
            "fax_number": "813-433-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTILIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "HOEFFNER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "813-926-9500",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "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 Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.