Active NPI
Delores Lavern Bussie, D.C.
- Chiropractor
- North Palm Beach, FL
National Provider Identifier
1124017579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0005093
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BB520Z | Other | FL | MEDICARE 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
| License | State | Type | Specialty |
|---|---|---|---|
| CH0005093 | FL | MD | Chiropractor |
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.