Juan Pablo Ahumada, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13201 Issued in FL

Practice address

312 E Lake Rd
Palm Harbor, FL 34685-2427

Phone

(727) 610-6324

NPI assigned

Jan 18, 2021

Last updated

Jan 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Palm Beach Health Center East PLLC

  • Chiropractor
  • West Palm Beach, FL
  • NPI 1043911704
  Medicare reassignment NPD
• Palm Beach Health Center PLLC

  • General Practice Physician
  • Royal Palm Beach, FL
  • NPI 1508495102
  Medicare reassignment NPD
• Mallen Chiropractic Inc.

  • Chiropractor
  • West Palm Beach, FL
  • NPI 1528365806
  NPD (past)

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1407446040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 BAY ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985008",
            "telephone_number": "213-858-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E LAKE RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852427",
            "telephone_number": "727-610-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHUMADA",
        "first_name": "JUAN",
        "middle_name": "PABLO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• After Hours Pediatrics, Inc
• Aghapy Care LLC
• Ezela Agolli, DNP, APRN, CPNP-PC
• Corin Peter Agoris, MD
• Anisa Aguilar
• Air Ambulance Network LLC
• Alan D Shoopak DMD Orthodontic Group VIII LLC (Orthodontic Specialists of Florida)
• Amanda Alyse Albanese, APRN
• Peter John Albano, DPT
• Robert Patrick Albergo, MD

• Chiropractor in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.