NPIMap

Organization Active NPI

Alan Dautch, PA

  • Orthopedic Chiropractor
  • Fort Pierce, FL
National Provider Identifier
1669732251
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
CH7578 Issued in FL
Legal business name
ALAN DAUTCH, PA
Practice address
2201 S 25TH St
Fort Pierce, FL 34947-4796
Phone
(772) 882-4573
Fax
(772) 882-4794
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Mr. Alan Dautch, DC
Title
DC
Phone
(561) 988-1022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0800X CH7578 FL Primary

Addresses

Primary practice location

2201 S 25TH St
Fort Pierce, FL 34947-4796

Mailing address

2295 NW Corporate Blvd
Suite 144
Boca Raton, FL 33431-7373
Phone (561) 988-1022

National Provider Directory

National Provider Directory
Tax ID family
Alan Dautch PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1669732251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 NW CORPORATE BLVD",
            "address_2": "SUITE 144",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317373",
            "telephone_number": "561-988-1022",
            "fax_number": "561-988-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474796",
            "telephone_number": "772-882-4573",
            "fax_number": "772-882-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN DAUTCH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "DAUTCH",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "561-988-1022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "FL",
            "license": "CH7578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.