NPIMap

Organization Active NPI

Diane L Michaels DC PA

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1710150107
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006891 Issued in FL
Legal business name
DIANE L MICHAELS DC PA
Practice address
501 Village Green Pkwy
Suite 15
Bradenton, FL 34209-3404
Phone
(941) 761-0210
Fax
(941) 795-0708
NPI assigned
Apr 8, 2008
Last updated
Sep 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Dr. Diane Lee Michaels, D.C.NPI 1104807494
Title
Dr. Diane L. Michaels
Phone
(941) 761-0210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0006891 FL Primary

Addresses

Primary practice location

501 Village Green Pkwy
Suite 15
Bradenton, FL 34209-3404

Mailing address

501 Village Green Pkwy
Suite 15
Bradenton, FL 34209-3404
Phone (941) 761-0210

National Provider Directory

National Provider Directory

Locations

501 Village Green Pkwy
Ste 15
Bradenton, FL 34209
Phone (941) 761-0210

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": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1710150107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 VILLAGE GREEN PKWY",
            "address_2": "SUITE 15",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093404",
            "telephone_number": "941-761-0210",
            "fax_number": "941-795-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VILLAGE GREEN PKWY",
            "address_2": "SUITE 15",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093404",
            "telephone_number": "941-761-0210",
            "fax_number": "941-795-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE L MICHAELS DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DR. DIANE L. MICHAELS",
        "authorized_official_telephone_number": "941-761-0210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.