Individual provider Active NPI

Cameron Andre Gholampour, DC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1093343303
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13102 Issued in FL
Practice address
14210 N Nebraska Ave
Tampa, FL 33613-2219
Phone
(727) 517-6266
Fax
(727) 286-9644
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13102 FL Primary

Addresses

Primary practice location

14210 N Nebraska Ave
Tampa, FL 33613-2219

Mailing address

4416 Bardsdale Dr
Palm Harbor, FL 34685-2600
Phone (727) 517-6266

Other practice location 1

5665 70th Ave N
Pinellas Park, FL 33781-4237
Phone (727) 228-3030

Other identifiers 1

IdentifierTypeStateIssuer
1093343303OtherFLNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH13102FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Strength & Spine Chiropractic Chiropractor CurrentSince May 16, 2022 Accepting new patients

Locations

14210 N Nebraska Ave
Tampa, FL 33613
Phone (727) 228-3030

Organizations & group practices 1

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1093343303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 BARDSDALE DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852600",
            "telephone_number": "727-517-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132219",
            "telephone_number": "727-517-6266",
            "fax_number": "727-286-9644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5665 70th Ave N",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337814237",
            "country_code": "US",
            "telephone_number": "727-228-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOLAMPOUR",
        "first_name": "CAMERON",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093343303",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.