Active NPI
Danielle Gagne, D.C.
- Chiropractor
- West Palm Beach, FL
National Provider Identifier
1497222145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12637
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107819900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12637 | FL | MD | Chiropractor |
| DC-05292 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brett D Schoch D C P a | Chiropractor | Current | 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.
-
- Chiropractor
- Fort Pierce, FL
- NPI 1811528979
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.