Individual provider Active NPI

Robert John Mann, DC

  • Chiropractor
  • Ft Lauderdale, FL
National Provider Identifier
1669541504
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00004471 Issued in FL
Practice address
1625 SE 10TH Ave
Suite 1010
Ft Lauderdale, FL 33316
Phone
(954) 609-6946
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00004471 FL Primary

Addresses

Primary practice location

1625 SE 10TH Ave
Suite 1010
Ft Lauderdale, FL 33316

Mailing address

PO Box 21459
Ft Lauderdale, FL 33305
Phone (954) 609-6946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131217001582 FL Practitioner - Chiropractic 3577790682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00004471FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Fechter Chiropractic Inc Chiropractor CurrentSince Sep 4, 2019 Accepting new patients

Locations

727 Saint Johns Ave
Palatka, FL 32177
Phone (386) 328-4043

2550 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 823-8809

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669541504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21459",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-609-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 10TH AVE",
            "address_2": "SUITE 1010",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33316",
            "telephone_number": "954-609-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH00004471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.