David Storm Chess, DC
Individual provider Active NPI Chiropractor · Edgewater, FL
NPI 1205919362 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1205919362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH4421 (FL)
- Practice address
- 930 S Ridgewood Ave
Edgewater, FL 32132 - Phone
- (386) 423-3100
- Fax
- (386) 423-3102
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH4421 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David S. Chess, P.a. | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH4421 | FL | Yes |
Addresses
Primary practice location
930 S Ridgewood Ave
Edgewater, FL 32132
Mailing address
209 Oak BR Dr
Edgewater, FL 32141
Phone (386) 424-9479
Other providers in Edgewater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.