Individual provider Active NPI

David P Kassay, D.C. , C.C.S.P.

  • Sports Physician Chiropractor
  • Stuart, FL
National Provider Identifier
1508961939
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH6717 Issued in FL
Practice address
1000 SW Palm City Rd
Stuart, FL 34994-2849
Phone
(772) 286-8555
Fax
(772) 286-8863
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X CH6717 FL Primary

Addresses

Primary practice location

1000 SW Palm City Rd
Stuart, FL 34994-2849

Mailing address

1000 SW Palm City Rd
Stuart, FL 34994-2849
Phone (772) 286-8555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120210000676 FL Practitioner - Chiropractic 7719144286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 SW Palm City Rd
Stuart, FL 34994-2849
Phone (772) 286-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH6717FLMDSports Physician Chiropractor
6717FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Narson-Kassay Chiropractic, P.a. Sports Physician CurrentSince Apr 30, 2003 Accepting new patients

Locations

1000 SW Palm City Rd
Stuart, FL 34994
Phone (772) 286-8555

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1508961939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SW PALM CITY RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942849",
            "telephone_number": "772-286-8555",
            "fax_number": "772-286-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SW PALM CITY RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942849",
            "telephone_number": "772-286-8555",
            "fax_number": "772-286-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAY",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C. , C.C.S.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH6717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.