Active NPI
Jason Dean Dunlap, DC
- Chiropractor
- Ormond Beach, FL
National Provider Identifier
1245871292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12938
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CH12938 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Edge Chiropractic LLC | Chiropractor | Current | 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
- Dream Life Legacy, Inc. (Seniors Helping Seniors)
- DRVN Physical Therapy & Wellness, LLC
- V John Dsouza, MD SC
- Dewayne N Dubose, ATC, LAT
- Thomas Dubrule
- Samuel Wolf Dunlop, NP-C
- Walter James Durkin, MD
- Dva Healthcare Renal Care Inc (Ormond Beach Dialysis)
- Olivia Michelle Dvorak, FNP
- E-Adept Global, Inc
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.