Active NPI
Misty Dawn Lagasse, D.C.
- Chiropractor
- Port Orange, FL
National Provider Identifier
1457677635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10209
- Practice address
- 4705 S Clyde Morris Blvd
Port Orange, FL 32129-4103 - Phone
- (386) 763-2718
- Fax
- (386) 763-2719
- NPI assigned
- Apr 13, 2010
- Sex
- Female
- 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 | CH10209 | FL | Primary |
Addresses
Primary practice location
4705 S Clyde Morris Blvd
Port Orange, FL 32129-4103
Mailing address
14 Lisbon St
St Augustine, FL 32080-9715
Phone (904) 679-2150
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartley Chiropractic P a | 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
- St Augustine, FL
- NPI 1780654228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369699200000",
"number": "1457677635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 LISBON ST",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320809715",
"telephone_number": "904-679-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 S CLYDE MORRIS BLVD",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321294103",
"telephone_number": "386-763-2718",
"fax_number": "386-763-2719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGASSE",
"first_name": "MISTY",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-13",
"last_updated": "2013-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.