Active NPI
Michael Epitropoulos, D.C., PH.D.
- Chiropractor
- Daytona Beach, FL
National Provider Identifier
1447413620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9613
- Practice address
- 1663 N Clyde Morris Blvd
Suit #2
Daytona Beach, FL 32117-5500 - Phone
- (386) 274-2520
- Fax
- (386) 274-2521
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH9613 | FL | Primary |
Addresses
Primary practice location
1663 N Clyde Morris Blvd
Suit #2
Daytona Beach, FL 32117-5500
Mailing address
1663 North Clyde Morris Blvd.
Suite 2
Daytona Beach, FL 32117
Phone (386) 274-2520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89058 | Other | FL | BCBS |
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
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Nutrition Centers, LLC | Chiropractor | Past | 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.
-
- Chiropractor
- Palm Coast, FL
- NPI 1033422100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1447413620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1663 NORTH CLYDE MORRIS BLVD.",
"address_2": "SUITE 2",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "32117",
"telephone_number": "386-274-2520",
"fax_number": "386-274-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1663 N CLYDE MORRIS BLVD",
"address_2": "SUIT #2",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175500",
"telephone_number": "386-274-2520",
"fax_number": "386-274-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPITROPOULOS",
"first_name": "MICHAEL",
"credential": "D.C., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89058",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.