Active NPI
Dean Scott Sutherland, DC
- Chiropractor
- Bradenton, FL
National Provider Identifier
1104936277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH6960
- Practice address
- 4705 26TH St W
Suite B
Bradenton, FL 34207-1704 - Phone
- (941) 755-1581
- Fax
- (941) 758-3577
- NPI assigned
- Aug 30, 2006
- 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 | CH6960 | FL | Primary |
Addresses
Primary practice location
4705 26TH St W
Suite B
Bradenton, FL 34207-1704
Mailing address
4705 26TH St W
Suite B
Bradenton, FL 34207-1704
Phone (941) 755-1581
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55285 | Other | FL | BLUE CROSS BLUE SHIELD |
| 55285X | Other | FL | MEDICARE ID |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manatee Wellness Center, Inc | Chiropractor | Past | Accepting new patients |
| Chiropractic Injury and Recovery Center Inc | Chiropractor | Past | 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.
-
- Chiropractor
- Bradenton, FL
- NPI 1023181773
-
- Chiropractor
- Bradenton, FL
- NPI 1053595066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1104936277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 26TH ST W",
"address_2": "SUITE B",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342071704",
"telephone_number": "941-755-1581",
"fax_number": "941-758-3577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 26TH ST W",
"address_2": "SUITE B",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342071704",
"telephone_number": "941-755-1581",
"fax_number": "941-758-3577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTHERLAND",
"first_name": "DEAN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH6960",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "55285",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "55285X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.