Individual provider Active NPI

Thomas Patrick Haban, D.C.

  • Chiropractor
  • Lutz, FL
National Provider Identifier
1407939382
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8590 Issued in FL
Practice address
25200 Sawyer Francis LN Ste 108
Lutz, FL 33559-6947
Phone
(813) 553-6893
NPI assigned
Oct 23, 2006
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8590 FL Primary

Addresses

Primary practice location

25200 Sawyer Francis LN Ste 108
Lutz, FL 33559-6947

Mailing address

5450 Bruce B Downs Blvd Ste 303
Wesley Chapel, FL 33544-8616
Phone (813) 553-6893

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110622000547 FL Practitioner - Chiropractic 4688852627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5919 Azure Dr
Wesley Chapel, FL 33545-4319

8403 Balm St
Weeki Wachee, FL 34607-4419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Wellness Center, LLC CurrentSince Feb 6, 2024 Accepting new patients
John C Theeck DC PA Chiropractor PastSince Jul 1, 2023 Accepting new patients
Gary a. Goerg, DC, PA Chiropractor PastSince Jul 9, 2024 Accepting new patients

Locations

641 W Lumsden Rd
Brandon, FL 33511
Phone (813) 654-5413

13134 Vail Ridge Dr
Riverview, FL 33579
Phone (813) 488-6315

Organizations & group practices 3

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1407939382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 BRUCE B DOWNS BLVD STE 303",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448616",
            "telephone_number": "813-553-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25200 SAWYER FRANCIS LN STE 108",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596947",
            "telephone_number": "813-553-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABAN",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.