Active NPI
Designer Body Inc.
- Chiropractor
- Boca Raton, FL
National Provider Identifier
1124059902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0004117
- Legal business name
- DESIGNER BODY INC.
- Practice address
- 4331 N Federal Hwy
Boca Raton, FL 33431-5127 - Phone
- (561) 391-2221
- Fax
- (561) 750-8017
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary L Burns, DC
- Title
- President
- Phone
- (561) 391-2221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0004117 | FL | Primary |
Addresses
Primary practice location
4331 N Federal Hwy
Boca Raton, FL 33431-5127
Mailing address
4331 N Federal Hwy
Boca Raton, FL 33431-5127
Phone (561) 391-2221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88983 | Other | FL | BLUE CROSS BLUE SHIELD |
Other names 1
- Sanctuary Chiropractic Center
National Provider Directory
National Provider DirectoryLocations
4331 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 391-2221
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Boca Raton, FL
- NPI 1881625663
-
- Acupuncturist
- Boca Raton, FL
- NPI 1255792339
-
- Chiropractor
- Boca Raton, FL
- NPI 1871784140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330041600000",
"number": "1124059902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4331 N FEDERAL HWY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334315127",
"telephone_number": "561-391-2221",
"fax_number": "561-750-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4331 N FEDERAL HWY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334315127",
"telephone_number": "561-391-2221",
"fax_number": "561-750-8017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESIGNER BODY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2012-02-24",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-391-2221",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0004117",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "88983",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sanctuary Chiropractic Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.