Active NPI
David Russell Mote, DC
- Chiropractor
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0006242
- Practice address
- 3111 Boynton Beach Blvd
Suite 200
Boynton Beach, FL 33436-4500 - Phone
- (561) 742-3283
- Fax
- (561) 742-3280
- NPI assigned
- Feb 13, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0006242 | FL | Primary |
Addresses
Primary practice location
3111 Boynton Beach Blvd
Suite 200
Boynton Beach, FL 33436-4500
Mailing address
3111 Boynton Beach Blvd
Suite 200
Boynton Beach, FL 33436-4500
Phone (561) 742-3283
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380849100 | Medicaid | FL | |
| 22533 | Other | FL | BLUE CROSS BLUE SHIELD |
| 603595500 | Other | FL | OWCP |
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
- New York Chiropractic College, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3111 W Boynton Beach Blvd
Suite 200
Boynton Beach, FL 33436-4613
Phone (561) 742-3283
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0006242 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mote Wellness & Rehab Inc | Chiropractor | Current | Accepting new patients |
| Palm Beach Aquatics & Physical Therapy Inc | Past | Accepting new patients |
Locations
3111 W Boynton Beach Blvd
Ste 200
Boynton Beach, FL 33436
Phone (561) 742-3283
3925 W Boynton Beach Blvd
Ste 105
Boynton Beach, FL 33436
Phone (561) 742-3283
Organizations & group practices 2
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.
-
- Chiropractor
- Boynton Beach, FL
- NPI 1326011917
-
- Physical Therapist
- Boynton Beach, FL
- NPI 1841263464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1619941234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 BOYNTON BEACH BLVD",
"address_2": "SUITE 200",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334364500",
"telephone_number": "561-742-3283",
"fax_number": "561-742-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 BOYNTON BEACH BLVD",
"address_2": "SUITE 200",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334364500",
"telephone_number": "561-742-3283",
"fax_number": "561-742-3280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTE",
"first_name": "DAVID",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0006242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380849100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "22533",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "603595500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.