Organization Active NPI

Gold Coast Chiropractic Center PA

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1447212253
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6359 Issued in FL
Legal business name
GOLD COAST CHIROPRACTIC CENTER PA
Practice address
1000 Linton Blvd
Suite A7
Delray Beach, FL 33444-1123
Phone
(561) 272-0388
Fax
(561) 272-0498
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Douglas Manolakos, DC
Title
President
Phone
(561) 272-0388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH6359 FL Primary

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

Other identifiers 1

IdentifierTypeStateIssuer
380358900MedicaidFL

National Provider Directory

National Provider Directory

Locations

1000 Linton Blvd
Ste A7
Delray Beach, FL 33444
Phone (561) 201-8373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1447212253",
    "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": {
        "organization_name": "GOLD COAST CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "MANOLAKOS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-272-0388",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380358900",
            "state": "FL"
        }
    ],
    "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 Mar 21, 2012; 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.