Active NPI
Alexander William Szecsodi, D.C.
- Chiropractor
- Bonita Springs, FL
National Provider Identifier
1104080233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 10235
- Practice address
- 16517 Vanderbilt Dr
Suite 1
Bonita Springs, FL 34134-7550 - Phone
- (239) 992-5311
- Fax
- (239) 947-6338
- NPI assigned
- Jul 17, 2008
- Sex
- Male
- Sole proprietor
- No
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 | CH 10235 | FL | Primary |
Addresses
Primary practice location
16517 Vanderbilt Dr
Suite 1
Bonita Springs, FL 34134-7550
Mailing address
16517 Vanderbilt Dr
Suite 1
Bonita Springs, FL 34134-7550
Phone (239) 992-5311
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
| License | State | Type | Specialty |
|---|---|---|---|
| CH 10235 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Site Dermatology LLC | 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.
-
- Dermatology Physician
- Boca Raton, FL
- NPI 1215978713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1104080233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16517 VANDERBILT DR",
"address_2": "SUITE 1",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341347550",
"telephone_number": "239-992-5311",
"fax_number": "239-947-6338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16517 VANDERBILT DR",
"address_2": "SUITE 1",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341347550",
"telephone_number": "239-992-5311",
"fax_number": "239-947-6338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZECSODI",
"first_name": "ALEXANDER",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-17",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.