NPIMap

Organization Active NPI

Dean W. Mammales DC LLC

  • Chiropractor
  • Royal Palm Beach, FL
National Provider Identifier
1174543672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8861 Issued in FL
Legal business name
DEAN W. MAMMALES DC LLC
Doing business as
Cobblestone Chiropractic & Wellness
Practice address
10233 Okeechobee Blvd
Suite B-6
Royal Palm Beach, FL 33411-1406
Phone
(561) 753-2225
Fax
(561) 296-0378
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dean William Mammales, DCNPI 1518918606
Title
Owner/Director
Phone
(561) 753-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8861 FL Primary

Addresses

Primary practice location

10233 Okeechobee Blvd
Suite B-6
Royal Palm Beach, FL 33411-1406

Mailing address

10233 Okeechobee Blvd
Suite B-6
Royal Palm Beach, FL 33411-1406
Phone (561) 753-2225

Other names 1

  • Cobblestone Chiropractic & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061023000351 FL Part B Supplier - Clinic/Group Practice 7911904669 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

10233 Okeechobee Blvd
Ste B6
West Palm Beach, FL 33411
Phone (561) 721-0492

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174543672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10233 OKEECHOBEE BLVD",
            "address_2": "SUITE B-6",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111406",
            "telephone_number": "561-753-2225",
            "fax_number": "561-296-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10233 OKEECHOBEE BLVD",
            "address_2": "SUITE B-6",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111406",
            "telephone_number": "561-753-2225",
            "fax_number": "561-296-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN W. MAMMALES DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAMMALES",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "561-753-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cobblestone Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.