Individual provider Active NPI

Symantha Sharon, DC

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1205558152
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14206 Issued in FL
Practice address
160 Congress Park Dr Ste 101
Delray Beach, FL 33445-4724
Phone
(612) 775-2369
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14206 FL Primary

Addresses

Primary practice location

160 Congress Park Dr Ste 101
Delray Beach, FL 33445-4724

Mailing address

4971 Le Chalet Blvd Ste 100
Boynton Beach, FL 33436-1418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230313001584 FL Practitioner - Chiropractic 6800260936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeclinic Physical Therapy and Chiropractic LLCGroup PAC ID 7214222793, 5 clinicians

Practice addresses (Care Compare)

11825 Lake Victoria Gardens Ave
Palm Beach Gardens, FL 33410
Phone (952) 541-7171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14206FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeclinic Physical Therapy & Chiropractic LLC Chiropractor CurrentSince May 4, 2024 Accepting new patients
Marc a. Weinberg, D.C., P.a. Chiropractor CurrentSince Jan 2, 2023 Accepting new patients
Active Health Center, LLC PastSince Jan 1, 2023 Accepting new patients
Elan Schrier, D.C., P.a. Chiropractor PastSince Sep 1, 2022 Accepting new patients

Locations

1499 W Yamato Rd
Boca Raton, FL 33431
Phone (561) 208-5900

421 Northlake Blvd
Ste F
North Palm Beach, FL 33408
Phone (561) 842-2273

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1205558152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4971 LE CHALET BLVD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CONGRESS PARK DR STE 101",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454724",
            "telephone_number": "612-775-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARON",
        "first_name": "SYMANTHA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.