Individual provider Active NPI

Justin Plunkett, DC

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1487333837
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14566 Issued in FL
Practice address
4731 W Atlantic Ave Ste B12
Delray Beach, FL 33445-3897
Phone
(561) 935-7715
Fax
(561) 774-2793
NPI assigned
Jul 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14566 FL Primary

Addresses

Primary practice location

4731 W Atlantic Ave Ste B12
Delray Beach, FL 33445-3897

Mailing address

4731 W Atlantic Ave Ste B12
Delray Beach, FL 33445-3897

Other practice location 1

160 Congress Park Dr Ste 101
Delray Beach, FL 33445-4724
Phone (561) 537-4526

Other practice location 2

4971 Le Chalet Blvd Ste 100
Boynton Beach, FL 33436-1418
Phone (561) 537-4526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230808003900 FL Practitioner - Chiropractic 9234591298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH14566FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Chiro Wellness1 Chiropractor Current Accepting new patients
Back in Action Fitness Chiropractor CurrentSince Jan 27, 2025 Accepting new patients

Locations

4731 W Atlantic Ave
Ste B12
Delray Beach, FL 33445
Phone (561) 305-7762

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1487333837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 W ATLANTIC AVE STE B12",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 W ATLANTIC AVE STE B12",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453897",
            "telephone_number": "561-935-7715",
            "fax_number": "561-774-2793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Congress Park Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334454724",
            "country_code": "US",
            "telephone_number": "561-537-4526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4971 Le Chalet Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334361418",
            "country_code": "US",
            "telephone_number": "561-537-4526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUNKETT",
        "first_name": "JUSTIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.