Individual provider Active NPI

Alain Nicolas-David, DC

  • Rehabilitation Chiropractor
  • Davie, FL
National Provider Identifier
1326417809
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH11655 Issued in FL
Practice address
10368 W State Road 84 Ste 104
Davie, FL 33324-4242
Phone
(954) 659-9446
NPI assigned
Sep 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X CH11655 FL Primary

Addresses

Primary practice location

10368 W State Road 84 Ste 104
Davie, FL 33324-4242

Mailing address

10368 W State Road 84 Ste 104
Davie, FL 33324-4242
Phone (954) 914-8765

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
CH11655FLMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chirobodymechanic, LLC Current Accepting new patients

Locations

10368 W State Road 84
Ste 104
Davie, FL 33324
Phone (954) 314-7024

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1326417809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10368 W STATE ROAD 84 STE 104",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244242",
            "telephone_number": "954-914-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10368 W STATE ROAD 84 STE 104",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244242",
            "telephone_number": "954-659-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAS-DAVID",
        "first_name": "ALAIN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH11655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.