Individual provider Active NPI

Eric T Centofanti, D.C.

  • Chiropractor
  • Miami Beach, FL
National Provider Identifier
1073935730
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12544 Issued in FL
Practice address
1220 20TH St
Miami Beach, FL 33139
Phone
(305) 935-9599
Fax
(305) 932-5612
NPI assigned
Jan 15, 2014
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 12544 FL
Chiropractor 111N00000X 12544 FL Primary

Addresses

Primary practice location

1220 20TH St
Miami Beach, FL 33139

Mailing address

20754 W Dixie Hwy
Aventura, FL 33180-1146
Phone (305) 935-9599

Other practice location 1

75 Summit Ave
Hackensack, NJ 07601-8504
Phone (201) 880-8866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190129001241 FL Practitioner - Chiropractic 0941432397 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Sports Medicine Boca LLCGroup PAC ID 3375993074, 3 clinicians

Practice addresses (Care Compare)

6201 N Federal Hwy
Boca Raton, FL 33487
Phone (561) 245-8103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12544FLMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Chiropractic & Sports, Inc Sports Physician CurrentSince Dec 3, 2018 Accepting new patients
USA Sports Medicine Boca LLC Sports Physician CurrentSince Nov 1, 2023 Accepting new patients
USA Sportschiropractic, Inc Chiropractor CurrentSince Jan 14, 2019 Accepting new patients
USA Sports Medicine LLC CurrentSince Dec 10, 2020 Accepting new patients

Locations

6201 N Federal Hwy
Boca Raton, FL 33487
Phone (561) 245-8103

11410 N Kendall Dr
Ste 110
Miami, FL 33176
Phone (305) 479-2973

20754 W Dixie Hwy
Miami, FL 33180
Phone (305) 606-0337

21000 NE 28th Ave
Ste 104
Miami, FL 33180
Phone (305) 933-0626

21150 Biscayne Blvd
Ste 406
Miami, FL 33180

1220 20th St
Miami Beach, FL 33139
Phone (305) 479-2973

404 Washington Ave
Ste 120
Miami Beach, FL 33139
Phone (305) 479-2973

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1073935730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20754 W DIXIE HWY",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801146",
            "telephone_number": "305-935-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 20TH ST",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33139",
            "telephone_number": "305-935-9599",
            "fax_number": "305-932-5612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076018504",
            "country_code": "US",
            "telephone_number": "201-880-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CENTOFANTI",
        "first_name": "ERIC",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-15",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "12544",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.