Individual provider Active NPI

Jason Dean Dunlap, DC

  • Chiropractor
  • Ormond Beach, FL
National Provider Identifier
1245871292
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12938 Issued in FL
Practice address
4 Pearl Dr Ste 1
Ormond Beach, FL 32174-1927
Phone
(386) 390-6007
NPI assigned
Oct 1, 2019
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12938 FL Primary

Addresses

Primary practice location

4 Pearl Dr Ste 1
Ormond Beach, FL 32174-1927

Mailing address

132 River Bluff Dr
Ormond Beach, FL 32174-3833
Phone (410) 200-0029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH12938FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Edge Chiropractic LLC Chiropractor CurrentSince Feb 23, 2020 Accepting new patients

Locations

4 Pearl Dr
Ste 1
Ormond Beach, FL 32174
Phone (386) 677-2522

Organizations & group practices 1

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1245871292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 RIVER BLUFF DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743833",
            "telephone_number": "410-200-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PEARL DR STE 1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741927",
            "telephone_number": "386-390-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "JASON",
        "middle_name": "DEAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-01",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.