Nancy Renee Gomez, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11545 Issued in FL

Practice address

1425 NW 62ND St Ste 201
Fort Lauderdale, FL 33309-1916

Phone

(773) 339-4366

NPI assigned

Jun 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tula Mobile Chiropractic LLC

  • Chiropractor
  • Cooper City, FL
  • NPI 1972335941
  NPD Authorized official
• Camp Sobe Well Oh LLC

  • Multi-Specialty Clinic/Center
  • Cincinnati, OH
  • NPI 1790460350
  NPD (past)
• Millenium Park Medical Center, SC

  • Chiropractor
  • Chicago, IL
  • NPI 1942538145
  NPD (past)
• Rosenthal Clinic SC

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1942306758
  NPD (past)

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1124254867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 SW 91ST TER",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283526",
            "telephone_number": "773-339-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 NW 62ND ST STE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091916",
            "telephone_number": "773-339-4366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4990 E Galbraith Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452366711",
            "country_code": "US",
            "telephone_number": "773-339-4366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "NANCY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11545",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05313",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1682669",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanny Gomez Escalona, LMT
• Jorge Luis Gomez-Miranda, LMFT
• Emily G Gomez
• Galena Gomez
• Lizandra Gomez
• Ricardo A Gomez, ARNP
• Sandra Julieth Gomez
• Sandra P. Gomez, D.D.S
• Emma Louisa Vera Gonzales, P.T.
• Lisandra Gonzalez Alfonso

• Chiropractor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.