Individual provider Active NPI

David Bryan Kirchofer, D.C.

  • Chiropractor
  • Cocoa Beach, FL
National Provider Identifier
1407821788
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
365 Issued in LA
Practice address
5505 N Atlantic Ave
Suite 104
Cocoa Beach, FL 32931-5111
Phone
(321) 784-0888
Fax
(321) 784-0888
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 365 LA Primary

Addresses

Primary practice location

5505 N Atlantic Ave
Suite 104
Cocoa Beach, FL 32931-5111

Mailing address

5505 N Atlantic Ave
Suite 104
Cocoa Beach, FL 32931-3226
Phone (321) 784-0888

Other identifiers 1

IdentifierTypeStateIssuer
70700OtherFLBLUE CROSS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
365LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas D Weber DC PA Chiropractor PastSince Sep 19, 2017 Accepting new patients

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1407821788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 N ATLANTIC AVE",
            "address_2": "SUITE 104",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313226",
            "telephone_number": "321-784-0888",
            "fax_number": "321-784-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 N ATLANTIC AVE",
            "address_2": "SUITE 104",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329315111",
            "telephone_number": "321-784-0888",
            "fax_number": "321-784-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHOFER",
        "first_name": "DAVID",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "70700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.