Organization Active NPI

Designer Body Inc.

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1124059902
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0004117 Issued in FL
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

Updated by the provider on Feb 24, 2012

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

Authorized official

Name
Dr. Gary L Burns, DCNPI 1881625663
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
88983OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Sanctuary Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.