Active NPI
David Pearson, D.C.
- Chiropractor
- Palm Coast, FL
National Provider Identifier
1093866592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH5371
- Practice address
- 50 Leanni Way Unit A5
Palm Coast, FL 32137-4753 - Phone
- (386) 246-0739
- Fax
- (386) 246-0737
- NPI assigned
- Jan 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH5371 | FL | Primary |
Addresses
Primary practice location
50 Leanni Way Unit A5
Palm Coast, FL 32137-4753
Mailing address
50 Leanni Way Unit A5
Palm Coast, FL 32137-4753
Phone (386) 246-0739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB086A | Other | FL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100521000853 | FL | Practitioner - Chiropractic | 7012046576 | Practice locations: Palm Coast, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 Cypress Branch Way
Suite 102
Palm Coast, FL 32164-8410
Phone (386) 246-0739
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4435 | NY | MD | Psychologist |
| CH5371 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preventive Healthcare Services | Past | Accepting new patients |
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.
-
- Diagnostic Ultrasound Physician
- Palm Coast, FL
- NPI 1578362729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1093866592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 LEANNI WAY UNIT A5",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321374753",
"telephone_number": "386-246-0739",
"fax_number": "386-246-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LEANNI WAY UNIT A5",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321374753",
"telephone_number": "386-246-0739",
"fax_number": "386-246-0737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-13",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH5371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "DB086A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
- Patricia Modad, MD, PA (Palm Coast OB GYN)
- PB Healthcare SVCS II LLC (Palm Coast Family Dentistry & Medicine)
- PB Healthcare SVCS, Inc (Palm Coast Family Dentistry & Medicine)
- Pco Operations, LP (Harborchase of Palm Coast)
- Peaceful Home Alf LLC
- Pediatrics in North Florida PA
- Jamie Peiffer
- Nicholas Peil, D.C.
- Gabriela Pellosmaa
- Sophia Leigh Penafiel, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.