GD Chiropractic and Massage LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GD CHIROPRACTIC AND MASSAGE LLC

Practice address

4647 Clyde Morris Blvd Unit 502
Port Orange, FL 32129-3001

Phone

(386) 202-2714

NPI assigned

Sep 26, 2023

Last updated

Sep 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Georgi S Dimov, DCNPI 1326746777

Title

Chiropractic Physician

Phone

(386) 301-2393

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Georgi Stamatov Dimov, DC

  • Chiropractor
  • Port Orange, FL
  • NPI 1326746777
  Medicare reassignment Authorized official
• Angela Leigh Moore, D.C.

  • Chiropractor
  • Port Orange, FL
  • NPI 1073751830
  NPD

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1437938776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S WILLIAMSON BLVD APT 2-201",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286531",
            "telephone_number": "571-426-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 CLYDE MORRIS BLVD UNIT 502",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293001",
            "telephone_number": "386-202-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD CHIROPRACTIC AND MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "DIMOV",
        "authorized_official_first_name": "GEORGI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "386-301-2393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gastrointestinal Associates PA
• Stephen I. Gates, M.D.
• Courtney Gatlin
• Jessie Gauld
• Autumn Gaylor
• Qing Ge, M.D., PH.D.
• Diane Gellermann, ARNP
• Jordan Genovese
• Jacqueline Gentile
• Nicole Gerardi

• Clinic/Center in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.