Edward M. Bounadonna, D.C., P.a

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0007117 Issued in FL

Legal business name

EDWARD M. BOUNADONNA, D.C., P.A

Practice address

1421 10TH St
Lake Park, FL 33403-2044

Phone

(561) 863-8898

Fax

(561) 863-8380

NPI assigned

Dec 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Edward M Buonadonna, DCNPI 1922138635

Title

Owner

Phone

(561) 863-8898

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Michael Buonadonna, D.C.

  • Chiropractor
  • Lake Park, FL
  • NPI 1922138635
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1598162802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 10TH ST",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032044",
            "telephone_number": "561-863-8898",
            "fax_number": "561-863-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 10TH ST",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032044",
            "telephone_number": "561-863-8898",
            "fax_number": "561-863-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD M. BOUNADONNA, D.C., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "BUONADONNA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-863-8898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Lake Park, FL
• Providers in Lake Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.