Active NPI
Alain Nicolas-David, DC
- Rehabilitation Chiropractor
- Davie, FL
National Provider Identifier
1326417809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH11655
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CH11655 | FL | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Chiropractor
- Hallandale Beach, FL
- NPI 1053051904
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.