Individual provider Active NPI

Robert Paul Safranski III, DC

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1093227019
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12176 Issued in FL
Practice address
401 W Atlantic Ave
# 014
Delray Beach, FL 33444
Phone
(561) 330-6096
NPI assigned
Oct 31, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12176 FL Primary

Addresses

Primary practice location

401 W Atlantic Ave
# 014
Delray Beach, FL 33444

Mailing address

4218 S Ocean Blvd Apt 4
Highland Beach, FL 33487-4255
Phone (561) 644-8803

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221000999 FL Practitioner - Chiropractic 4183962962 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

280 SW 32ND St
Okeechobee, FL 34974-5918
Phone (863) 763-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12176FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Big Lake Chiropractic Chiropractor CurrentSince May 18, 2024 Accepting new patients
Complete Well Being Chiropractor CurrentSince Oct 1, 2020 Accepting new patients
Conde Center for Chiropractic Neurology Inc CurrentSince Feb 20, 2019 Accepting new patients

Locations

280 SW 32nd St
Okeechobee, FL 34974
Phone (561) 376-2854

Organizations & group practices 3

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": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1093227019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 S OCEAN BLVD APT 4",
            "city": "HIGHLAND BEACH",
            "state": "FL",
            "postal_code": "334874255",
            "telephone_number": "561-644-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W ATLANTIC AVE",
            "address_2": "# 014",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33444",
            "telephone_number": "561-330-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFRANSKI",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.