Ignacio Gavaldon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12461 Issued in FL

Practice address

807 A1A
New Smyrna Beach, FL 32169-2827

Phone

(386) 410-3292

NPI assigned

May 2, 2018

Last updated

Nov 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Standard Chiropractic, LLC

  • Chiropractor
  • New Smyrna Beach, FL
  • NPI 1710451950
  Authorized official Same address or phone

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1649769928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6951 VINTAGE LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321284095",
            "telephone_number": "619-240-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 A1A",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321692827",
            "telephone_number": "386-410-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVALDON",
        "first_name": "IGNACIO",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G Fredrick Herdel MD PA
• Cristina Garcia
• Rosa Amelia Garcia, MD
• Holly Garsow, PTA
• Gastro Health, LLC
• Leanne Marie Geer, DC
• Jamie A Gennaro, LMT
• Shelley Ann George, APRN
• Ilana Rachel Gerber, BCBA
• Tara Gibson

• Chiropractor in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.