Active NPI
Your Family Chiropractor
- Chiropractor
- Brooksville, FL
National Provider Identifier
1649354770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 3808
- Legal business name
- YOUR FAMILY CHIROPRACTOR
- Practice address
- 13315 Cortez Blvd
Brooksville, FL 34613-4838 - Phone
- (352) 596-1900
- Fax
- (352) 596-9888
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Kurt Dahmer Sr., DC
- Title
- Chiropractor
- Phone
- (352) 596-1900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 3808 | FL | Primary |
Addresses
Primary practice location
13315 Cortez Blvd
Brooksville, FL 34613-4838
Mailing address
PO Box 845
Brooksville, FL 34605-0845
Phone (352) 596-1900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380641300 | Medicaid | FL | |
| 88752 | Other | FL | BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
13315 Cortez Blvd
Brooksville, FL 34613
Phone (352) 596-1900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267488000000",
"number": "1649354770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346050845",
"telephone_number": "352-596-1900",
"fax_number": "352-596-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13315 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346134838",
"telephone_number": "352-596-1900",
"fax_number": "352-596-9888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR FAMILY CHIROPRACTOR",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2010-03-02",
"status": "A",
"authorized_official_last_name": "DAHMER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "KURT",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "352-596-1900",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 3808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380641300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "88752",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.