Individual provider Active NPI

David K Dahmer, DC

  • Chiropractor
  • Brooksville, FL
National Provider Identifier
1558458372
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3808 Issued in FL
Practice address
13315 Cortez Blvd
Brooksville, FL 34613-4888
Phone
(352) 596-1900
Fax
(352) 596-9888
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH3808 FL Primary

Addresses

Primary practice location

13315 Cortez Blvd
Brooksville, FL 34613-4888

Mailing address

13315 Cortez Blvd
Brooksville, FL 34613-4888
Phone (352) 596-1900

Other identifiers 2

IdentifierTypeStateIssuer
88752OtherFLBLUE SHILED
380641300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070611000190 FL Practitioner - Chiropractic 0143328419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic Health Centers Corp.Group PAC ID 4183850738, 2 clinicians

Practice addresses (Care Compare)

13315 Cortez Blvd
Brooksville, FL 34613-4888
Phone (352) 596-1900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Health Centers Corp Chiropractor CurrentSince Jan 1, 2014 Accepting new patients
Gary a. Goerg, DC, PA Chiropractor Past Accepting new patients
Family Chiropractic Health Centers Corp Chiropractor Past Accepting new patients
Family Chiropractic Center for Wellness Inc Chiropractor PastSince Jan 16, 2007 Accepting new patients

Locations

13315 Cortez Blvd
Brooksville, FL 34613
Phone (352) 596-1900

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1558458372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13315 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346134888",
            "telephone_number": "352-596-1900",
            "fax_number": "352-596-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13315 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346134888",
            "telephone_number": "352-596-1900",
            "fax_number": "352-596-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHMER",
        "first_name": "DAVID",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHILED",
            "identifier": "88752",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380641300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.