Organization Active NPI

DC Ancillary Solutions, LLC

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1629658786
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DC ANCILLARY SOLUTIONS, LLC
Practice address
1502 S Macdill Ave
Tampa, FL 33629-5214
Phone
(813) 563-0683
NPI assigned
Apr 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Dr. Elliot David Sherman, DC
Title
Member Manager
Phone
(757) 831-9128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1502 S Macdill Ave
Tampa, FL 33629-5214

Mailing address

624 Oleander Way S
South Pasadena, FL 33707-2116
Phone (757) 831-9128

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1629658786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 OLEANDER WAY S",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072116",
            "telephone_number": "757-831-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295214",
            "telephone_number": "813-563-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC ANCILLARY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "757-831-9128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.