Diane L Michaels DC PA

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

Organization subpart

No

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.

Title

Dr. Diane L. Michaels

Phone

(941) 761-0210

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10715738",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Chiropractor in Florida

• 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.