Individual provider Active NPI

Rachel Nakayama, DC

  • Chiropractor
  • South Daytona, FL
National Provider Identifier
1295271344
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12049 Issued in FL
Practice address
2330 S Nova Rd
South Daytona, FL 32119-2514
Phone
(386) 872-2929
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12049 FL Primary

Addresses

Primary practice location

2330 S Nova Rd
South Daytona, FL 32119-2514

Mailing address

3900 Yorktowne Blvd
Apt 3606
Port Orange, FL 32129-6008
Phone (386) 872-2929

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1295271344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 YORKTOWNE BLVD",
            "address_2": "APT 3606",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296008",
            "telephone_number": "386-872-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 S NOVA RD",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321192514",
            "telephone_number": "386-872-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAYAMA",
        "first_name": "RACHEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.