Organization Active NPI

Dr. David C. Anthony, D.C.P.a.

  • Chiropractor
  • Lehigh Acres, FL
National Provider Identifier
1669741641
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6150 Issued in FL
Legal business name
DR. DAVID C. ANTHONY, D.C.P.A.
Practice address
124 Lee Blvd
Lehigh Acres, FL 33936-6120
Phone
(239) 368-6700
Fax
(239) 368-1788
NPI assigned
Dec 21, 2011
Last updated
Dec 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Mrs. Amy S. Anthony
Title
Business Manager
Phone
(239) 368-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6150 FL Primary

Addresses

Primary practice location

124 Lee Blvd
Lehigh Acres, FL 33936-6120

Mailing address

124 Lee Blvd
Lehigh Acres, FL 33936-6120
Phone (239) 368-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120104000612 FL Part B Supplier - Clinic/Group Practice 9638345192 Receives reassigned benefits from 1 practitioner
Practice locations: Lehigh Acres, FL

National Provider Directory

National Provider Directory

Locations

124 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-6700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1669741641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366120",
            "telephone_number": "239-368-6700",
            "fax_number": "239-368-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366120",
            "telephone_number": "239-368-6700",
            "fax_number": "239-368-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID C. ANTHONY, D.C.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "239-368-6700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.