Individual provider Active NPI

Justin James Bartlett, D.C.

  • Chiropractor
  • Palm Beach Gardens, FL
National Provider Identifier
1356680128
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10705 Issued in FL
Practice address
5604 Pga Blvd
Suite C107
Palm Beach Gardens, FL 33418-3831
Phone
(561) 625-5422
Fax
(561) 625-5425
NPI assigned
Feb 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10705 FL Primary
Nutrition Chiropractor 111NN1001X CH10705 FL

Addresses

Primary practice location

5604 Pga Blvd
Suite C107
Palm Beach Gardens, FL 33418-3831

Mailing address

5604 Pga Blvd
Suite C107
Palm Beach Gardens, FL 33418-3831
Phone (561) 625-5422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130415000459 FL Practitioner - Chiropractic 4183860240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

210 Jupiter Lakes Blvd
Suite 5205
Jupiter, FL 33458-7192
Phone (561) 625-5422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adio Health, LLC Chiropractor CurrentSince Feb 28, 2013 Accepting new patients
Squier Chiropractic Inc Chiropractor Past Accepting new patients

Locations

210 Jupiter Lakes Blvd
Ste 5205
Jupiter, FL 33458
Phone (561) 625-5422

5604 Pga Blvd
Ste C107
Palm Beach Gardens, FL 33418
Phone (561) 625-5422

5604 Pga Blvd
#C107
Palm Beach Gardens, FL 33418
Phone (561) 625-5422

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1356680128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 PGA BLVD",
            "address_2": "SUITE C107",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183831",
            "telephone_number": "561-625-5422",
            "fax_number": "561-625-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 PGA BLVD",
            "address_2": "SUITE C107",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183831",
            "telephone_number": "561-625-5422",
            "fax_number": "561-625-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "JUSTIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10705",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH10705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.