Active NPI
Jacques Daniel Etheart, D.C.
- Chiropractor
- West Palm Beach, FL
National Provider Identifier
1447547872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10334
- Practice address
- 3030 S Dixie Hwy
West Palm Beach, FL 33405-1539 - Phone
- (561) 650-1205
- NPI assigned
- Jul 6, 2011
- Sex
- Male
- Sole proprietor
- No
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 | CH10334 | FL | Primary |
Addresses
Primary practice location
3030 S Dixie Hwy
West Palm Beach, FL 33405-1539
Mailing address
600 S Dixie Hwy
Apt 637
West Palm Beach, FL 33401-5824
Phone (314) 825-1506
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH10334 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1447547872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S DIXIE HWY",
"address_2": "APT 637",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015824",
"telephone_number": "314-825-1506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 S DIXIE HWY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334051539",
"telephone_number": "561-650-1205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETHEART",
"first_name": "JACQUES",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.