Individual provider Active NPI

Delores Lavern Bussie, D.C.

  • Chiropractor
  • North Palm Beach, FL
National Provider Identifier
1124017579
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0005093 Issued in FL
Practice address
784 US Highway 1
Suite 12
North Palm Beach, FL 33408-4415
Phone
(561) 799-0223
Fax
(561) 799-0263
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0005093 FL Primary

Addresses

Primary practice location

784 US Highway 1
Suite 12
North Palm Beach, FL 33408-4415

Mailing address

784 U.S. Highway 1
Suite 12
North Palm Beach, FL 33408-4411
Phone (561) 799-0223

Other identifiers 1

IdentifierTypeStateIssuer
BB520ZOtherFLMEDICARE PTAN

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
CH0005093FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1124017579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 U.S. HIGHWAY 1",
            "address_2": "SUITE 12",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084411",
            "telephone_number": "561-799-0223",
            "fax_number": "561-799-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 US HIGHWAY 1",
            "address_2": "SUITE 12",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084415",
            "telephone_number": "561-799-0223",
            "fax_number": "561-799-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSIE",
        "first_name": "DELORES",
        "middle_name": "LAVERN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BB520Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.