David M. Trax, D.C., P.a.

Key facts

NPI

1346480225

Entity type

Organization (NPI type 2)

Primary specialty

Clinic/Center 261Q00000X

License

CH8028 (FL)

Legal business name

DAVID M. TRAX, D.C., P.A.

Practice address

6005 SE US Highway 301
Suite 405 a
Hawthorne, FL 32640-7316

Phone

(352) 481-9994

Fax

(352) 481-9954

NPI assigned

Mar 4, 2009

Organization subpart

No

Authorized official

Name

Dr. David M Trax, D.C. NPI 1144426446

Title

President

Phone

(352) 481-9994

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

Practitioners 1

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

• David Martin Trax, D.C. Chiropractor · Hawthorne, FL · NPI 1144426446
  Medicare reassignment NPD Authorized official CHIROPRACTOR · FL

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 4, 2009.

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1346480225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 SE US HIGHWAY 301",
            "address_2": "SUITE 405 A",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "326407316",
            "telephone_number": "352-481-9994",
            "fax_number": "352-481-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 SE US HIGHWAY 301",
            "address_2": "SUITE 405 A",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "326407316",
            "telephone_number": "352-481-9994",
            "fax_number": "352-481-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. TRAX, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "TRAX",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-481-9994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH8028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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