Tatiana Habanova, DC, DACNB

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8157 Issued in FL

Practice address

12300 S Shore Blvd Ste 218
Wellington, FL 33414-6509

Phone

(561) 444-7518

Fax

(561) 666-1311

NPI assigned

Aug 27, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1760030332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 FAIRWAY COVE CT",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334147789",
            "telephone_number": "561-204-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 S SHORE BLVD STE 218",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146509",
            "telephone_number": "561-444-7518",
            "fax_number": "561-666-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABANOVA",
        "first_name": "TATIANA",
        "name_prefix": "Dr.",
        "credential": "DC, DACNB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Wellington",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12300 S Shore Blvd Ste 218",
            "city": "Wellington",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334146509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mario F Guillen, MD
• Ishan A Gunawardene, M.D
• Shariffa Gunawardene, ARNP
• Cesar Alonso Gutierrez, COTA
• Andrew Guvetis, PHARMD
• Bruce Martin Haberman, D.C.
• Tomer Haik, DDS
• Alec Matthew Halberstadt
• Isaac Halfon, MD
• Sonia Hamidi, AU.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.