NPIMap

Organization Active NPI

Alan Bruce Dautch, PA

  • Chiropractor
  • Hollywood, FL
National Provider Identifier
1104363696
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7578 Issued in FL
Legal business name
ALAN BRUCE DAUTCH, PA
Practice address
2832 Stirling Rd
Suites E & F
Hollywood, FL 33020-1127
Phone
(561) 988-1022
NPI assigned
Jan 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Alan Dautch
Title
President
Phone
(561) 988-1022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7578 FL Primary

Addresses

Primary practice location

2832 Stirling Rd
Suites E & F
Hollywood, FL 33020-1127

Mailing address

2295 NW Corporate Blvd
#245
Boca Raton, FL 33431-7373
Phone (561) 988-1022

National Provider Directory

National Provider Directory
Tax ID family
Alan Bruce Dautch PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2295 NW Corporate Blvd
Ste 245
Boca Raton, FL 33431
Phone (561) 988-0545

2832 Stirling Rd
Ste E
Hollywood, FL 33020
Phone (954) 929-1211

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1104363696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 NW CORPORATE BLVD",
            "address_2": "#245",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317373",
            "telephone_number": "561-988-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 STIRLING RD",
            "address_2": "SUITES E & F",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201127",
            "telephone_number": "561-988-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN BRUCE DAUTCH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "DAUTCH",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-988-1022"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.