Individual provider Active NPI

Timothy M Bassett, D.C.

  • Chiropractor
  • Fort Walton Beach, FL
National Provider Identifier
1487696712
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0007652 Issued in FL
Practice address
201 Florida PL SE
Fort Walton Beach, FL 32548-5812
Phone
(850) 301-0900
Fax
(850) 301-0606
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0007652 FL Primary

Addresses

Primary practice location

201 Florida PL SE
Fort Walton Beach, FL 32548-5812

Mailing address

201 Florida PL SE
Fort Walton Beach, FL 32548-5812
Phone (850) 301-0900

Other identifiers 1

IdentifierTypeStateIssuer
55835OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080411000530 FL Practitioner - Chiropractic 3779660931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Florida PL SE
Fort Walton Beach, FL 32548-5812

201 Florida Sepl
Fort Walton Beach, FL 32548-5812
Phone (850) 301-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0007652FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bassett Family Chiropractic Inc Chiropractor CurrentSince Jan 1, 2008 Accepting new patients

Locations

201 Florida Pl SE
Ft Walton Bch, FL 32548
Phone (850) 301-0900

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487696712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FLORIDA PL SE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485812",
            "telephone_number": "850-301-0900",
            "fax_number": "850-301-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FLORIDA PL SE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485812",
            "telephone_number": "850-301-0900",
            "fax_number": "850-301-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "55835",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.