James Daren Incledon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7416 Issued in FL

Practice address

6609 Woolbright Rd
Suite 414
Boynton Beach, FL 33437-0910

Phone

(561) 865-8390

Fax

(561) 865-1730

NPI assigned

Jul 13, 2006

Last updated

Mar 26, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Incledon Chiropractic P.a.

  • Chiropractor
  • Boynton Beach, FL
  • NPI 1043538135
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1316962939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 WOOLBRIGHT RD",
            "address_2": "SUITE 414",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334370910",
            "telephone_number": "561-865-8390",
            "fax_number": "561-865-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 WOOLBRIGHT RD",
            "address_2": "SUITE 414",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334370910",
            "telephone_number": "561-865-8390",
            "fax_number": "561-865-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCLEDON",
        "first_name": "JAMES",
        "middle_name": "DAREN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "14-1778307",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3818900.00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "53941",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2586587",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "604421",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Img Medical Group de PA
• Immersion Recovery Center LLC
• Incera Mental Wellness Center LLC
• Incledon Chiropractic P.a.
• Emily Kathryn Incledon, RD, LDN, MS
• Steven Dennis Incledon, DC
• Angelo Nicholas Incorvaia, M.D.
• Jacilyn Indellicati
• Mitchell Indictor, D.D.S.
• Indigo Light Health, Inc.

• Chiropractor in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.