NPIMap

Organization Active NPI

Chance Chiropractic Center Inc

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1730349630
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3135 Issued in FL
Legal business name
CHANCE CHIROPRACTIC CENTER INC
Practice address
1240 NW 11TH Ave
Gainesville, FL 32601-4146
Phone
(352) 375-6972
NPI assigned
Jun 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Naomi Chance
Title
Office Manager
Phone
(239) 466-5656

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH3135 FL Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH3762 FL
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH6635 FL
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH10449 FL

Addresses

Primary practice location

1240 NW 11TH Ave
Gainesville, FL 32601-4146

Mailing address

1240 NW 11TH Ave
Gainesville, FL 32601-4146
Phone (352) 375-6972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130913000619 FL Part B Supplier - Clinic/Group Practice 3476797333 Receives reassigned benefits from 6 practitioners
Practice locations: Gainesville, FL

National Provider Directory

National Provider Directory

Locations

1240 NW 11th Ave
Gainesville, FL 32601
Phone (352) 373-9911

1240 NW 11th Ave
#A
Gainesville, FL 32601
Phone (352) 375-6972

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1730349630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 NW 11TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014146",
            "telephone_number": "352-375-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 NW 11TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326014146",
            "telephone_number": "352-375-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCE CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-466-5656"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3135",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3762",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6635",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.