Bethany Ann Aponte, D.C
Individual provider Active NPI Chiropractor · Mount Dora, FL
NPI 1639472152 · NPPES record last updated Oct 15, 2014
Key facts
- NPI
- 1639472152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH10156 (FL)
- Practice address
- 1502 N Donnelly St
Suite 109
Mount Dora, FL 32757-2846 - Phone
- (352) 383-2530
- Fax
- (352) 735-0929
- NPI assigned
- Dec 6, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Palmer College Foundation
Practice addresses (Care Compare)
4705 Clyde Morris Blvd
Port Orange, FL 32129-4103
Phone (386) 763-2718
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120327000886 | FL | Practitioner - Chiropractic | 3476713561 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH10156 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmer College Foundation | Chiropractor | Current |
Accepting new patients |
| Palmer College Foundation | Chiropractor | Current |
Accepting new patients |
| Dr Eric Janowitz PA | Chiropractor | Past | Accepting new patients |
Locations
311 N Clyde Morris Blvd
Ste 310
Daytona Beach, FL 32114
Phone (386) 257-6644
4705 Clyde Morris Blvd
Pt Orange, FL 32129
Phone (386) 763-2712
1000 Brady St
Davenport, IA 52803
Phone (563) 884-5800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10156 | FL | Yes |
Addresses
Primary practice location
1502 N Donnelly St
Suite 109
Mount Dora, FL 32757-2846
Mailing address
1502 N Donnelly St
Suite 109
Mount Dora, FL 32757-2846
Phone (352) 383-2530
NPI Registry JSON
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1639472152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 N DONNELLY ST",
"address_2": "SUITE 109",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327572846",
"telephone_number": "352-383-2530",
"fax_number": "352-735-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 N DONNELLY ST",
"address_2": "SUITE 109",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327572846",
"telephone_number": "352-383-2530",
"fax_number": "352-735-0929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APONTE",
"first_name": "BETHANY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-06",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2014. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.