Organization Active NPI

William C Chaney DC PA

Doing business as Chaney Chiropractic

  • Durable Medical Equipment & Medical Supplies
  • Beverly Hills, FL
National Provider Identifier
1760007736
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WILLIAM C CHANEY DC PA
Doing business as
Chaney Chiropractic
Chaney Chiropractic Clinic
Practice address
22 Regina Blvd
Beverly Hills, FL 34465-4085
Phone
(352) 270-8869
Fax
(352) 270-8899
NPI assigned
Jun 15, 2020
Last updated
Nov 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
William C ChaneyNPI 1033233283
Title
Owner
Phone
(352) 686-6385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

22 Regina Blvd
Beverly Hills, FL 34465-4085

Mailing address

22 Regina Blvd
Beverly Hills, FL 34465-4085
Phone (352) 270-8869

Other identifiers 1

IdentifierTypeStateIssuer
103453600MedicaidFL

Other names 2

  • Chaney Chiropractic Doing business as
  • Chaney Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201116002080 FL DME Supplier - Medical Supply Company With Orthotic Personnel 9830274364 Practice locations: Beverly Hills, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
William C Chaney DC PA22 Regina Blvd, Beverly Hills, FL 34465-4085(352) 270-8869 Orthoses: Off-The-Shelf Accepts assignmentParticipating since Apr 5, 2004

National Provider Directory

National Provider Directory

Locations

22 Regina Blvd
Beverly Hills, FL 34465
Phone (352) 270-8869

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1760007736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 REGINA BLVD",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344654085",
            "telephone_number": "352-270-8869",
            "fax_number": "352-270-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 REGINA BLVD",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344654085",
            "telephone_number": "352-270-8869",
            "fax_number": "352-270-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C CHANEY DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-686-6385"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103453600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chaney Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chaney Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.