NPIMap

Organization Active NPI

Suzi Desai DC PLLC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1063290047
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUZI DESAI DC PLLC
Doing business as
SOUTH TAMPA CHIROPRACTIC CLINIC
Practice address
3720 W Dale Ave
Tampa, FL 33609-3904
Phone
(813) 350-0109
Fax
(813) 876-7162
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Dr. Suzi C Desai, DCNPI 1780272419
Title
Doctor
Phone
(813) 350-0109

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3720 W Dale Ave
Tampa, FL 33609-3904

Mailing address

3720 W Dale Ave
Tampa, FL 33609-3904
Phone (813) 350-0109

Other names 1

  • SOUTH TAMPA CHIROPRACTIC CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240206001362 FL Part B Supplier - Clinic/Group Practice 4486018496 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

3720 W Dale Ave
Tampa, FL 33609
Phone (813) 350-0109

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1063290047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 W DALE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093904",
            "telephone_number": "813-350-0109",
            "fax_number": "813-876-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 W DALE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093904",
            "telephone_number": "813-350-0109",
            "fax_number": "813-876-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZI DESAI DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SUZI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "813-350-0109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH TAMPA CHIROPRACTIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTH TAMPA CHIROPRACTIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 26, 2024; 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.