Active NPI
Michael Jomar Vega Guzman, DC
- Chiropractor
- Tampa, FL
National Provider Identifier
1568189272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH14249
- Practice address
- 14502 N Dale Mabry Hwy Ste 305-3
Tampa, FL 33618-2075 - Phone
- (813) 265-3476
- NPI assigned
- Oct 24, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH14249 | FL | Primary |
Addresses
Primary practice location
14502 N Dale Mabry Hwy Ste 305-3
Tampa, FL 33618-2075
Mailing address
14502 N Dale Mabry Hwy Ste 200
Tampa, FL 33618-2040
Phone (813) 265-3476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH14249 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TBMV | Chiropractor | Current | Accepting new patients |
Locations
14502 N Dale Mabry Hwy
Ste 3053
Tampa, FL 33618
Phone (813) 265-3476
14502 N Dale Mabry Hwy
Ste 200
Tampa, FL 33618
Phone (813) 724-3868
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": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682812800000",
"number": "1568189272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14502 N DALE MABRY HWY STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182040",
"telephone_number": "813-265-3476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14502 N DALE MABRY HWY STE 305-3",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182075",
"telephone_number": "813-265-3476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA GUZMAN",
"first_name": "MICHAEL",
"middle_name": "JOMAR",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-24",
"last_updated": "2023-04-30",
"certification_date": "2023-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH14249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.