Organization Active NPI

Your Family Chiropractor

  • Chiropractor
  • Brooksville, FL
National Provider Identifier
1649354770
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 3808 Issued in FL
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

Updated by the provider on Mar 2, 2010

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
380641300MedicaidFL
88752OtherFLBLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.