Active NPI
Michael David Ville, DC
- Orthopedic Chiropractor
- Satellite Beach, FL
National Provider Identifier
1497883227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- CH3794
- Practice address
- 155 Jackson Ave
Satellite Beach, FL 32937-2993 - Phone
- (321) 777-3677
- Fax
- (321) 779-8344
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | CH3794 | FL | Primary |
Addresses
Primary practice location
155 Jackson Ave
Satellite Beach, FL 32937-2993
Mailing address
155 Jackson Ave
Satellite Beach, FL 32937-2993
Phone (321) 777-3677
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
- National College of Chiropractic, 1981
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
155 Jackson Ave
Suite C
Satellite Beach, FL 32937-2993
Phone (321) 773-2663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenerative Spine and Body Clinic | Orthopedic | Current | Accepting new patients |
Locations
155 Jackson Ave
Satellite Beach, FL 32937
Phone (321) 773-2663
155 Jackson Ave
Ste C
Satellite Beach, FL 32937
Phone (321) 773-2663
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.
-
- Orthopedic Chiropractor
- Satellite Beach, FL
- NPI 1144624321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497883227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 JACKSON AVE",
"city": "SATELLITE BEACH",
"state": "FL",
"postal_code": "329372993",
"telephone_number": "321-777-3677",
"fax_number": "321-779-8344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 JACKSON AVE",
"city": "SATELLITE BEACH",
"state": "FL",
"postal_code": "329372993",
"telephone_number": "321-777-3677",
"fax_number": "321-779-8344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLE",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "FL",
"license": "CH3794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Satellite Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.