Individual provider Active NPI

Dale Joseph Charrette, D.C, Q.M.E

  • Chiropractor
  • The Villages, FL
National Provider Identifier
1295818813
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13587 Issued in FL
Practice address
1950 Laurel Manor Dr
Ste 204
The Villages, FL 32162-5608
Phone
(352) 259-0024
Fax
(352) 430-1904
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13587 FL Primary

Addresses

Primary practice location

1950 Laurel Manor Dr
Ste 204
The Villages, FL 32162-5608

Mailing address

1950 Laurel Manor Dr
Ste 204
The Villages, FL 32162-5608
Phone (760) 449-4548

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

State licenses

LicenseStateTypeSpecialty
CH13587FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1295818813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR",
            "address_2": "STE 204",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625608",
            "telephone_number": "760-449-4548",
            "fax_number": "760-202-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LAUREL MANOR DR",
            "address_2": "STE 204",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321625608",
            "telephone_number": "352-259-0024",
            "fax_number": "352-430-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARRETTE",
        "first_name": "DALE",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "D.C, Q.M.E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.