Individual provider Active NPI

Doris Antos, DC

  • Chiropractor
  • Daytona Beach, FL
National Provider Identifier
1043530249
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10020 Issued in FL
Practice address
569 Health Blvd
Suite C
Daytona Beach, FL 32114-1498
Phone
(386) 258-9800
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10020 FL Primary

Addresses

Primary practice location

569 Health Blvd
Suite C
Daytona Beach, FL 32114-1498

Mailing address

569 Health Blvd
Suite C
Daytona Beach, FL 32114-1498
Phone (386) 258-9800

Other names 1

  • Dr. Doris Antos Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910001133 FL Practitioner - Chiropractic 0547385759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doris Antos DC PLGroup PAC ID 9638294846, 2 clinicians

Practice addresses (Care Compare)

569 Health Blvd
Suite C
Daytona Beach, FL 32114-1499
Phone (386) 258-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doris Antos DC PL Chiropractor CurrentSince Jun 14, 2010 Accepting new patients

Locations

569 Health Blvd
Ste C
Daytona Beach, FL 32114
Phone (386) 258-9800

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.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1043530249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 HEALTH BLVD",
            "address_2": "SUITE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141498",
            "telephone_number": "386-258-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 HEALTH BLVD",
            "address_2": "SUITE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141498",
            "telephone_number": "386-258-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOS",
        "first_name": "DORIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORIS",
            "last_name": "ANTOS",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.