Active NPI
David G Contreras, D.C.
- Chiropractor
- Mary Esther, FL
National Provider Identifier
1164684452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9587
- Practice address
- 151 Mary Esther Blvd Ste 408
Mary Esther, FL 32569-1975 - Phone
- (850) 226-4440
- NPI assigned
- Jun 27, 2008
- Sex
- Male
- Sole proprietor
- No
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 | CH9587 | FL | Primary |
Addresses
Primary practice location
151 Mary Esther Blvd Ste 408
Mary Esther, FL 32569-1975
Mailing address
602 Ironwood Dr
Fort Walton Beach, FL 32547-2911
Phone (850) 226-6303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9587 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1164684452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 IRONWOOD DR",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325472911",
"telephone_number": "850-226-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 MARY ESTHER BLVD STE 408",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325691975",
"telephone_number": "850-226-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTRERAS",
"first_name": "DAVID",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-27",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mary Esther, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.