Individual provider Active NPI

Dylan George, DC

  • Chiropractor
  • Palm Coast, FL
National Provider Identifier
1245953660
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13735 Issued in FL
Practice address
250 Palm Coast Pkwy NE Unit 504
Palm Coast, FL 32137-8288
Phone
(386) 225-4291
NPI assigned
Sep 21, 2022
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13735 FL Primary

Addresses

Primary practice location

250 Palm Coast Pkwy NE Unit 504
Palm Coast, FL 32137-8288

Mailing address

1591 Megan Bay Cir
Daytona Beach, FL 32117-2045
Phone (765) 265-9628

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
CH13735FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Learned Enterprises LLC Dba Yourchiro Chiropractor CurrentSince Sep 25, 2022 Accepting new patients

Locations

250 Palm Coast Pkwy NE
Unit 504
Palm Coast, FL 32137
Phone (386) 225-4291

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1245953660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 MEGAN BAY CIR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321172045",
            "telephone_number": "765-265-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PALM COAST PKWY NE UNIT 504",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378288",
            "telephone_number": "386-225-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "DYLAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.