Bambi R Denais, D.C.

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

12307 Issued in FL

Practice address

4400 E Highway 20 Ste 207
Niceville, FL 32578-7700

Phone

(850) 897-1177

Fax

(850) 897-1377

NPI assigned

Feb 4, 2010

Last updated

Feb 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2008

Medicare assignment

May accept Medicare assignment

Group practices

Bluewater Chiropractic Wellness Center LLCGroup PAC ID 8224193156, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bluewater Chiropractic Wellness Center LLC

  dba Serenity Health Chiropractic

  • Clinic/Center
  • Shalimar, FL
  • NPI 1992942692
  Medicare reassignment Care Compare group NPD
• BRD Wellness PLLC

  dba Serenity Health Chiropractic

  • Clinic/Center
  • Shalimar, FL
  • NPI 1487239539
  Medicare reassignment NPD Authorized official
• Lightfoot Clinic of Chiropractic

  • Chiropractor
  • Lafayette, LA
  • NPI 1841442860
  NPD (past)

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1457683245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 E HIGHWAY 20 STE 207",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325787700",
            "telephone_number": "850-897-1177",
            "fax_number": "850-897-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E HIGHWAY 20 STE 207",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325787700",
            "telephone_number": "850-897-1177",
            "fax_number": "850-897-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENAIS",
        "first_name": "BAMBI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1545",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "FL",
            "license": "12307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Ellen Davis, LCSW
• Janell Davis
• Kelsey Davis
• Pamela Gail Davis
• Yessika De Jesus, RBT
• Cherie Denison, PTA
• James A Derby, MD
• Susan Desmith, PT, DPT
• Melyssa R Deveney, PTA
• Julie Devine, NP-C

• Pediatric Chiropractor in Niceville, FL
• Providers in Niceville, FL by specialty
• Pediatric Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.