Individual provider Active NPI

Hayden C Chance, DC

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1629566328
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12466 Issued in FL
Practice address
1240 NW 11TH Ave Ste a
Gainesville, FL 32601-3097
Phone
(352) 375-6972
Fax
(352) 377-6945
NPI assigned
Apr 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12466 FL Primary

Addresses

Primary practice location

1240 NW 11TH Ave Ste a
Gainesville, FL 32601-3097

Mailing address

1240 NW 11TH Ave Ste a
Gainesville, FL 32601-3097
Phone (352) 375-6972

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180713001959 FL Practitioner - Chiropractic 7315293800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chance Chiropractic Center IncGroup PAC ID 3476797333, 6 clinicians

Practice addresses (Care Compare)

1240 NW 11TH Ave
Suite a
Gainesville, FL 32601-4146
Phone (352) 375-6972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chance Chiropractic Center Inc Chiropractor CurrentSince Apr 15, 2018 Accepting new patients

Locations

1240 NW 11th Ave
Gainesville, FL 32601
Phone (352) 373-9911

1240 NW 11th Ave
#A
Gainesville, FL 32601
Phone (352) 375-6972

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": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1629566328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 NW 11TH AVE STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326013097",
            "telephone_number": "352-375-6972",
            "fax_number": "352-377-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 NW 11TH AVE STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326013097",
            "telephone_number": "352-375-6972",
            "fax_number": "352-377-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "HAYDEN",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.