Austin Emil Dacanay, DC, MS, CCSP, ICSSD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8788 Issued in FL

Practice address

4961 Van Dyke Rd.
Lutz, FL 33558

Phone

(813) 908-8776

Fax

(813) 908-8704

NPI assigned

Oct 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Titan Spine and Sports Medicine Inc

  • Sports Physician Chiropractor
  • Lutz, FL
  • NPI 1962581041
  Medicare reassignment NPD Authorized official
• Axiom Medical Clinic LLC

  dba Axiom Neck to Back Medical Clinic LLC

  • Physical Therapist
  • Tampa, FL
  • NPI 1750335329

  Chiropractor

  NPD (past)
• Chiromed Chiropractic Center, Inc

  • Chiropractor
  • Tampa, FL
  • NPI 1073568572
  NPD (past)
• Suncoast Total Healthcare LLC

  • Durable Medical Equipment & Medical Supplies
  • Clearwater, FL
  • NPI 1700188927
  NPD (past)
• Total Vitality Medical Group, LLC

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1376583609

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1619964491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4961 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584813",
            "telephone_number": "813-908-8776",
            "fax_number": "813-908-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4961 VAN DYKE RD.",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33558",
            "telephone_number": "813-908-8776",
            "fax_number": "813-908-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACANAY",
        "first_name": "AUSTIN",
        "middle_name": "EMIL",
        "name_prefix": "Dr.",
        "credential": "DC, MS, CCSP, ICSSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8788",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IA",
            "license": "3980",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381971000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cypress Creek Medical Spa
• Cypress Wellness Center , Inc
• Lindsey Czerniawski
• D Dave Wright Arnp
• Alexander Clayton Dabbs
• Edward Daher
• Christen Daigle
• Dang Wynn Medical
• Daniel Heinig, M.D., P.a.
• Erica Daniels

• Chiropractor in Lutz, FL
• Providers in Lutz, FL by specialty
• Chiropractor in Florida

• 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.

Verify at the official NPI Registry.