Individual provider Active NPI

Hanna Chumita, DC

  • Chiropractor
  • Daytona Beach, FL
National Provider Identifier
1164995064
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12663 Issued in FL
Practice address
1367 Beville Rd
Daytona Beach, FL 32119-1529
Phone
(386) 317-2000
NPI assigned
Jan 3, 2019
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12663 FL Primary

Addresses

Primary practice location

1367 Beville Rd
Daytona Beach, FL 32119-1529

Mailing address

1636 Woodcrest Dr Apt 2
Daytona Beach, FL 32119-1415
Phone (724) 584-8496

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190718000698 FL Practitioner - Chiropractic 7517292147 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12663FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Chiropractic & Wellness, LLC CurrentSince Aug 11, 2019 Accepting new patients
Porter Chiropractic and Wellness, LLC CurrentSince Aug 11, 2019 Accepting new patients

Locations

1367 Beville Rd
Daytona Beach, FL 32119
Phone (386) 316-2525

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1164995064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 WOODCREST DR APT 2",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191415",
            "telephone_number": "724-584-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 BEVILLE RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191529",
            "telephone_number": "386-317-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUMITA",
        "first_name": "HANNA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.

Verify at the official NPI Registry.