Organization Active NPI

Optimal Function Chiropractic

  • Chiropractor
  • Lakewood Ranch, FL
National Provider Identifier
1699387001
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OPTIMAL FUNCTION CHIROPRACTIC
Practice address
6731 Professional Pkwy W
Lakewood Ranch, FL 34240-8490
Phone
(941) 914-7246
NPI assigned
Aug 18, 2020
Last updated
Aug 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
John J. Davidson III, DCNPI 1689733651
Title
Chiropractor/Owner
Phone
(941) 914-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

6731 Professional Pkwy W
Lakewood Ranch, FL 34240-8490

Mailing address

744 Sigsbee Loop
Sarasota, FL 34240-2322
Phone (941) 914-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200826000616 FL Part B Supplier - Clinic/Group Practice 7719304484 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood Ranch, FL

National Provider Directory

National Provider Directory

Locations

6731 Professional Pkwy
Lakewood Ranch, FL 34240
Phone (941) 351-2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1699387001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 SIGSBEE LOOP",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342402322",
            "telephone_number": "941-914-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6731 PROFESSIONAL PKWY W",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408490",
            "telephone_number": "941-914-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL FUNCTION CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "941-914-7246",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.