Active NPI
Michelle Lynn Gingras, D.C.
- Chiropractor
- South Daytona, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8584
- Practice address
- 3113 S Ridgewood Ave
South Daytona, FL 32119-3547 - Phone
- (386) 767-6602
- Fax
- (386) 767-6602
- NPI assigned
- Aug 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8584 | FL | Primary |
Addresses
Primary practice location
3113 S Ridgewood Ave
South Daytona, FL 32119-3547
Mailing address
3113 S Ridgewood Ave
South Daytona, FL 32119-3547
Phone (386) 767-6602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH8584 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmer College Foundation | Chiropractor | Current | Accepting new patients |
| Palmer College Foundation | Chiropractor | Current | Accepting new patients |
| Gingras Chiropractic Clinic PA | Chiropractor | Past | Accepting new patients |
| Florida Coast Chiropractic Clinic Incorporated | Chiropractor | Past | Accepting new patients |
Locations
311 N Clyde Morris Blvd
Ste 310
Daytona Beach, FL 32114
Phone (386) 257-6644
4705 Clyde Morris Blvd
Pt Orange, FL 32129
Phone (386) 763-2712
1000 Brady St
Davenport, IA 52803
Phone (563) 884-5800
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Palmer College of Chiropractic Florida
- Chiropractor
- Port Orange, FL
- NPI 1568552255
-
- Chiropractor
- Port Orange, FL
- NPI 1740725761
-
- Chiropractor
- South Daytona, FL
- NPI 1043540263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154438042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3113 S RIDGEWOOD AVE",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321193547",
"telephone_number": "386-767-6602",
"fax_number": "386-767-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3113 S RIDGEWOOD AVE",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321193547",
"telephone_number": "386-767-6602",
"fax_number": "386-767-6602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINGRAS",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Daytona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.