Organization Active NPI

Family Chiropractic Center for Wellness Inc

  • Chiropractor
  • Weeki Wachee, FL
National Provider Identifier
1063619385
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9001 Issued in FL
Legal business name
FAMILY CHIROPRACTIC CENTER FOR WELLNESS INC
Practice address
8403 Balm St
Weeki Wachee, FL 34607-4419
Phone
(352) 240-5936
Fax
(352) 340-5937
NPI assigned
Jun 29, 2007
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Dr. Brian K Dahmer, DCNPI 1962593467
Title
President
Phone
(727) 862-8571

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Chiropractor 111N00000X CH9001 FL Primary

Addresses

Primary practice location

8403 Balm St
Weeki Wachee, FL 34607-4419

Mailing address

8403 Balm St
Weeki Wachee, FL 34607-4419
Phone (352) 240-5936

Other identifiers 1

IdentifierTypeStateIssuer
3820009-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070726000582 FL Part B Supplier - Clinic/Group Practice 9436250032 Receives reassigned benefits from 12 practitioners
Practice locations: Brooksville, FL; Homosassa, FL; Hudson, FL; Inverness, FL; Land O Lakes, FL; Weeki Wachee, FL
O20111111000600 FL DME Supplier - Physician - Chiropractic 9436250032 Practice locations: Weeki Wachee, FL

National Provider Directory

National Provider Directory

Locations

3155 Aerial Way
Brooksville, FL 34604
Phone (352) 283-8388

8375 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 329-3975

9206 State Road 52
Hudson, FL 34669
Phone (727) 312-1043

2718 Letap Ct
Unit 102
Land O Lakes, FL 34638
Phone (813) 875-7900

8411 Balm St
Weeki Wachee, FL 34607
Phone (352) 340-5936

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1063619385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 BALM ST",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346074419",
            "telephone_number": "352-240-5936",
            "fax_number": "352-340-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 BALM ST",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346074419",
            "telephone_number": "352-240-5936",
            "fax_number": "352-340-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CENTER FOR WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "DAHMER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-862-8571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3820009-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weeki Wachee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.