Individual provider Active NPI

Douglas B Manolakos, DC

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1417956863
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6359 Issued in FL
Practice address
1000 Linton Blvd
Suite A7
Delray Beach, FL 33444-1123
Phone
(561) 272-0388
Fax
(561) 272-0498
NPI assigned
Jul 19, 2005
Last updated
Oct 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6359 FL Primary
Chiropractor 111N00000X CHIRO003117 GA

Addresses

Primary practice location

1000 Linton Blvd
Suite A7
Delray Beach, FL 33444-1123

Mailing address

1000 Linton Blvd
Suite A7
Delray Beach, FL 33444-1123
Phone (561) 272-0388

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
CHIRO003117GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hemorrhoid Center of South Florida PastSince Jul 27, 2007 Accepting new patients

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1417956863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINTON BLVD",
            "address_2": "SUITE A7",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334441123",
            "telephone_number": "561-272-0388",
            "fax_number": "561-272-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINTON BLVD",
            "address_2": "SUITE A7",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334441123",
            "telephone_number": "561-272-0388",
            "fax_number": "561-272-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOLAKOS",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6359",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO003117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.