Douglas Dishauzi, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8291 Issued in FL

Practice address

2430 Vanderbilt Beach Road Ext
Suite 110
Naples, FL 34109-2654

Phone

(239) 596-8800

Fax

(239) 591-0737

NPI assigned

Jun 18, 2006

Last updated

Oct 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vanderbilt Chiropractic Clinic, PA

  • Chiropractor
  • Naples, FL
  • NPI 1780886408
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1730124207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 VANDERBILT BEACH ROAD EXT",
            "address_2": "SUITE 110",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092654",
            "telephone_number": "239-596-8800",
            "fax_number": "239-591-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 VANDERBILT BEACH ROAD EXT",
            "address_2": "SUITE 110",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092654",
            "telephone_number": "239-596-8800",
            "fax_number": "239-591-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISHAUZI",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381909400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Samantha Diramacca
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• David Alan Dishauzi, D.C.
• Missy Gray Dishman, APRN
• Bailey Coffey Ditty
• Benjamin Jared Ditty, M.D.
• Divine Home Care & Companion Services, LLC
• Divine Life Health Services, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.

Verify at the official NPI Registry.