David Traster, DC
Individual provider Active NPI Neurology Chiropractor · Delray Beach, FL
NPI 1124416599 · NPPES record last updated Oct 20, 2016
Key facts
- NPI
- 1124416599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Chiropractor 111NN0400X
- License
- CHIR009377 (GA)
- Practice address
- 15966 Laurel Creek Dr
Delray Beach, FL 33446-9556 - Phone
- (973) 600-4675
- NPI assigned
- Jan 7, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220408002010 | FL | Practitioner - Chiropractic |
2860809407 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009377 | GA | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Neurologic Wellness Institute, LLC | Neurology | Current | Accepting new patients |
| Illinois Neuro & Physical Rehabilitation LTD | Past | Accepting new patients |
Locations
199 S Addison Rd
Ste 106
Wood Dale, IL 60191
Phone (630) 766-1552
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | CHIR009377 | GA | Yes |
| Neurology Chiropractor | 111NN0400X | CH11740 | FL |
Addresses
Primary practice location
15966 Laurel Creek Dr
Delray Beach, FL 33446-9556
Mailing address
15966 Laurel Creek Dr
Delray Beach, FL 33446-9556
Phone (973) 600-4675
Other providers in Delray Beach, FL
- Transformations Treatment Center Inc.
- Transformations Treatment Center Inc.
- Transitional Accomodations
- Jeffrey John Trantalis
- Alan Donald Traster
- Jennifer Traub
- Trauma Assoc of the Palm Beaches
- Aaron Zachary Travis
- Treatment Alternatives, LLC
- Mary Terese Trebitz
All providers in Delray Beach, FL · Neurology Chiropractor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.