Organization Active NPI

W. Patrick Danzey, D.C.P.a.

  • Independent Medical Examiner Chiropractor
  • Avon Park, FL
National Provider Identifier
1194031732
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
Legal business name
W. PATRICK DANZEY, D.C.P.A.
Practice address
1590 US 27 N
Avon Park, FL 33825-2151
Phone
(863) 453-5777
Fax
(863) 453-9737
NPI assigned
Aug 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Authorized official

Name
Mr. William Patrick Danzey, D.C.P.A.NPI 1417957069
Title
Owner
Phone
(863) 453-5777

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
Independent Medical Examiner ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NI0013X Primary

Addresses

Primary practice location

1590 US 27 N
Avon Park, FL 33825-2151

Mailing address

1590 US 27 N
Avon Park, FL 33825-2151
Phone (863) 453-5777

Other identifiers 1

IdentifierTypeStateIssuer
002887000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101019000624 FL Part B Supplier - Clinic/Group Practice 8123226099 Receives reassigned benefits from 3 practitioners
Practice locations: Avon Park, FL

National Provider Directory

National Provider Directory

Locations

1590 US Highway 27 N
Avon Park, FL 33825
Phone (863) 453-5777

Practitioners & affiliated clinicians

Practitioners 4

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": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1194031732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 US 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252151",
            "telephone_number": "863-453-5777",
            "fax_number": "863-453-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 US 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252151",
            "telephone_number": "863-453-5777",
            "fax_number": "863-453-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. PATRICK DANZEY, D.C.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "DANZEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-453-5777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C.P.A."
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002887000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.