Individual provider Active NPI

David Evan Yachter, DC

  • Chiropractor
  • Plantation, FL
National Provider Identifier
1083808596
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6780 Issued in FL
Practice address
10189 Cleary Blvd
Suite103
Plantation, FL 33324-1027
Phone
(954) 472-6002
Fax
(954) 472-7111
NPI assigned
Aug 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0006780 FL
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH6780 FL Primary

Addresses

Primary practice location

10189 Cleary Blvd
Suite103
Plantation, FL 33324-1027

Mailing address

10189 Cleary Blvd
Suite103
Plantation, FL 33324-1027
Phone (954) 472-6002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090803000633 FL Practitioner - Chiropractic 4880747211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10189 Cleary Blvd
Suite 103
Plantation, FL 33324-1027
Phone (954) 472-6002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0006780FLMDChiropractor
CH6780FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Health Plantation LLC Chiropractor CurrentSince May 21, 2014 Accepting new patients
Elevation Health S. Arlington LLC Chiropractor PastSince May 19, 2014 Accepting new patients

Locations

10189 Cleary Blvd
Ste 103
Plantation, FL 33324
Phone (954) 472-6002

Organizations & group practices 2

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1083808596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10189 CLEARY BLVD",
            "address_2": "SUITE103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241027",
            "telephone_number": "954-472-6002",
            "fax_number": "954-472-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10189 CLEARY BLVD",
            "address_2": "SUITE103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241027",
            "telephone_number": "954-472-6002",
            "fax_number": "954-472-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACHTER",
        "first_name": "DAVID",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "0006780",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.