Active NPI
Monte David Venis, DC
- Chiropractor
- Clearwater, FL
National Provider Identifier
1710976568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0003934
- Practice address
- 2737 State Road 580
Clearwater, FL 33761-3343 - Phone
- (727) 726-4743
- Fax
- (727) 799-2391
- NPI assigned
- Oct 14, 2005
- 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 | CH0003934 | FL | Primary |
Addresses
Primary practice location
2737 State Road 580
Clearwater, FL 33761-3343
Mailing address
2737 State Road 580
Clearwater, FL 33761-3343
Phone (727) 726-4743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380837800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110118001139 | FL | Practitioner - Chiropractic | 2961691233 | Practice locations: Clearwater, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2737 State Rd
Suite 580
Clearwater, FL 33761-3343
Phone (727) 726-4743
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0003934 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1710976568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2737 STATE ROAD 580",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613343",
"telephone_number": "727-726-4743",
"fax_number": "727-799-2391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2737 STATE ROAD 580",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613343",
"telephone_number": "727-726-4743",
"fax_number": "727-799-2391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENIS",
"first_name": "MONTE",
"middle_name": "DAVID",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0003934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380837800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.