Hannah Gomolak, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH15216 Issued in FL

Practice address

3510 S Nova Rd Ste 111
Port Orange, FL 32129-3796

Phone

(386) 947-7185

NPI assigned

Nov 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Passion Chiropractic LLC

  • Chiropractor
  • Port Orange, FL
  • NPI 1619476744
  Medicare reassignment NPD

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1750107256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 S NOVA RD STE 111",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293796",
            "telephone_number": "386-947-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 S NOVA RD STE 111",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293796",
            "telephone_number": "386-947-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMOLAK",
        "first_name": "HANNAH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Goforth
• Golden Abbey Enterprises II Inc
• Golden Abbey Enterprises, II, Inc
• Jack William Goldey, D.D.S.
• Melany Gomez Carreras
• Elena K Gonzalez, LMFT
• Natalie Gonzalez
• Sylvia Gonzalez
• Tara Gonzalez, M.D.
• Yarisneisy Gonzalez, APRN

• Chiropractor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.