Individual provider Active NPI

Garry K Van Romer, D.C.

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1093776924
Registry record updated Dec 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5424 Issued in FL
Practice address
2133 Beecher Rd
Clearwater, FL 33763-2211
Phone
(864) 985-2444
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1287 SC
Chiropractor 111N00000X CH5424 FL Primary

Addresses

Primary practice location

2133 Beecher Rd
Clearwater, FL 33763-2211

Mailing address

2133 Beecher Rd
Clearwater, FL 33763-2211
Phone (864) 985-2444

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH5424FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Healthcare, LLC PastSince Aug 1, 2010 Accepting new patients
Van Romer Chiropractic Chiropractor PastSince Aug 1, 2008 Accepting new patients

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1093776924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 BEECHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337632211",
            "telephone_number": "864-985-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 BEECHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337632211",
            "telephone_number": "864-985-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ROMER",
        "first_name": "GARRY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1287",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; 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.