Individual provider Active NPI

Danielle Gagne, D.C.

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1497222145
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12637 Issued in FL
Practice address
1803 S Australian Ave
West Palm Beach, FL 33409-6454
Phone
(561) 207-2077
Fax
(561) 584-7031
NPI assigned
Oct 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-05292 OH
Chiropractor 111N00000X 12637 FL Primary

Addresses

Primary practice location

1803 S Australian Ave
West Palm Beach, FL 33409-6454

Mailing address

321 SW Butler Ave
Port Saint Lucie, FL 34983-1912
Phone (772) 380-3264

Other identifiers 1

IdentifierTypeStateIssuer
107819900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190308001265 FL Practitioner - Chiropractic 0042556821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brett D Schoch D C P aGroup PAC ID 9739595075, 3 clinicians

Practice addresses (Care Compare)

8631 S US Hwy 1
Port Saint Lucie, FL 34952-3331
Phone (772) 302-9580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12637FLMDChiropractor
DC-05292OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brett D Schoch D C P a Chiropractor CurrentSince Jan 1, 2025 Accepting new patients

Locations

2502 Quincy Ave
Fort Pierce, FL 34947
Phone (561) 352-7413

8631 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 302-9580

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": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1497222145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SW BUTLER AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831912",
            "telephone_number": "772-380-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 S AUSTRALIAN AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096454",
            "telephone_number": "561-207-2077",
            "fax_number": "561-584-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "DANIELLE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05292",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107819900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.