Active NPI
Antonio Coffa
- Chiropractor
- Port Orange, FL
National Provider Identifier
1710639141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH13909
- Practice address
- 5348 Coquina Shores LN
Port Orange, FL 32128-3009 - Phone
- (416) 272-2407
- NPI assigned
- Jan 26, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH13909 | FL | Primary |
Addresses
Primary practice location
5348 Coquina Shores LN
Port Orange, FL 32128-3009
Mailing address
5348 Coquina Shores LN
Port Orange, FL 32128-3009
Phone (416) 272-2407
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@chirodiscovery.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1710639141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5348 COQUINA SHORES LN",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321283009",
"telephone_number": "416-272-2407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5348 COQUINA SHORES LN",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321283009",
"telephone_number": "416-272-2407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFA",
"first_name": "ANTONIO",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-26",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH13909",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@chirodiscovery.com",
"affiliation": "N",
"endpointDescription": "Secure email",
"address_1": "5348 Coquina Shores Ln",
"city": "Port Orange",
"state": "FL",
"country_code": "US",
"postal_code": "321283009",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.