Individual provider Active NPI

David Steven Slossberg, D.C.

  • Chiropractor
  • Lake Worth, FL
National Provider Identifier
1124089651
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8521 Issued in FL
Practice address
4640 Hypoluxo Rd
Suite 2
Lake Worth, FL 33463-7534
Phone
(561) 296-1715
Fax
(561) 296-1716
NPI assigned
Apr 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8521 FL Primary

Addresses

Primary practice location

4640 Hypoluxo Rd
Suite 2
Lake Worth, FL 33463-7534

Mailing address

4640 Hypoluxo Rd
Suite 2
Lake Worth, FL 33463-7534
Phone (561) 296-1715

Other identifiers 2

IdentifierTypeStateIssuer
381873000MedicaidFL
88365OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503000200 FL Practitioner - Chiropractic 4880681733 Reassigns benefits to 1 organization
Practice locations: Ponte Vedra Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

820 A1A
Suite W12
Ponte Vedra, FL 32082-3330
Phone (904) 285-2243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8521FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Healthcare of the Palm Beaches, PLLC CurrentSince Jan 3, 2012 Accepting new patients

Locations

4640 Hypoluxo Rd
Ste 2
Lake Worth, FL 33463
Phone (561) 296-1715

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.

NPI Registry JSON

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

{
    "created_epoch": "1143936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1124089651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 HYPOLUXO RD",
            "address_2": "SUITE 2",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637534",
            "telephone_number": "561-296-1715",
            "fax_number": "561-296-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 HYPOLUXO RD",
            "address_2": "SUITE 2",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637534",
            "telephone_number": "561-296-1715",
            "fax_number": "561-296-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOSSBERG",
        "first_name": "DAVID",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-02",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "8521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381873000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88365",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.