Beyond Bones Health Solutions Inc.
Organization Active NPI Chiropractor · Trinity, FL
NPI 1639425895 · NPPES record last updated Jun 16, 2017
Key facts
- NPI
- 1639425895
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH10708 (FL)
- Legal business name
- BEYOND BONES HEALTH SOLUTIONS INC.
- Practice address
- 4115 Little Rd
Trinity, FL 34655-1717 - Phone
- (727) 376-2024
- NPI assigned
- Jul 25, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Chase Decubellis, D.C.
- Title
- Ceo
- Phone
- (727) 534-8017
Practitioners 4
-
Chase Decubellis, D.C.
-
Benjamin Loya Jr., D.C.
-
Laura Atkinson, LMT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121002000493 | FL | Part B Supplier - Clinic/Group Practice | 7416106737 |
Receives reassigned benefits from 3 practitioners Practice locations: New Port Richey, FL |
National Provider Directory
Locations
4115 Little Rd
Trinity, FL 34655
Phone (727) 376-2024
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CH10708 | FL | Yes |
Addresses
Primary practice location
4115 Little Rd
Trinity, FL 34655-1717
Mailing address
4115 Little Rd
Trinity, FL 34655-1717
Phone (727) 376-2024
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.