Individual provider Active NPI

Sofia Ines Becerra, DC

  • Chiropractor
  • Royal Palm Beach, FL
National Provider Identifier
1447822325
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13559 Issued in FL
Practice address
10233 Okeechobee Blvd Ste B6
Royal Palm Beach, FL 33411-1407
Phone
(561) 753-2225
Fax
(561) 296-0378
NPI assigned
Jul 12, 2021
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13559 FL Primary

Addresses

Primary practice location

10233 Okeechobee Blvd Ste B6
Royal Palm Beach, FL 33411-1407

Mailing address

4271 San Marino Blvd Apt 103
West Palm Beach, FL 33409-7717
Phone (787) 633-7969

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

LicenseStateTypeSpecialty
13559FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine & Joint Institute Inc Chiropractor CurrentSince Jul 20, 2021 Accepting new patients
Dean W. Mammales DC LLC Chiropractor PastSince Jul 20, 2021 Accepting new patients

Locations

10233 Okeechobee Blvd
Ste B6
West Palm Beach, FL 33411
Phone (561) 721-0492

Organizations & group practices 2

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": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1447822325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4271 SAN MARINO BLVD APT 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097717",
            "telephone_number": "787-633-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10233 OKEECHOBEE BLVD STE B6",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111407",
            "telephone_number": "561-753-2225",
            "fax_number": "561-296-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECERRA",
        "first_name": "SOFIA",
        "middle_name": "INES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal 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 12, 2021; 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.