Organization Active NPI

Mitchell Kaplan DC PA

  • Chiropractor
  • Melbourne, FL
National Provider Identifier
1316260474
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0002725 Issued in FL
Legal business name
MITCHELL KAPLAN DC PA
Practice address
1565 Sarno Rd Ste B
Melbourne, FL 32935-5268
Phone
(321) 255-3003
Fax
(321) 255-3005
NPI assigned
Mar 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Dr. Mitchell L Kaplan, DCNPI 1205832862
Title
Physician Owner
Phone
(321) 255-3003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0002725 FL Primary

Addresses

Primary practice location

1565 Sarno Rd Ste B
Melbourne, FL 32935-5268

Mailing address

PO Box 360914
Melbourne, FL 32936-0914
Phone (321) 255-3003

Other identifiers 2

IdentifierTypeStateIssuer
380957900MedicaidFL
1205832862OtherFLNPI

Other names 1

  • Mitchell L. Kaplan, D.C.,P.A. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100420000299 FL Part B Supplier - Clinic/Group Practice 2365578465 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Locations

1565 Sarno Rd
Ste B
Melbourne, FL 32935
Phone (321) 255-3003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1316260474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360914",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329360914",
            "telephone_number": "321-255-3003",
            "fax_number": "321-255-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 SARNO RD STE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355268",
            "telephone_number": "321-255-3003",
            "fax_number": "321-255-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL KAPLAN DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "321-255-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0002725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380957900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205832862",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell L. Kaplan, D.C.,P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.