Active NPI
Christopher M Varnum, DC
- Chiropractor
- Port Orange, FL
National Provider Identifier
1760459200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8389
- Practice address
- 4705 S Clyde Morris Blvd
Palmer Chiropractic Clinic
Port Orange, FL 32129-4103 - Phone
- (386) 763-2712
- Fax
- (386) 763-2726
- NPI assigned
- Mar 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8389 | FL | Primary |
Addresses
Primary practice location
4705 S Clyde Morris Blvd
Palmer Chiropractic Clinic
Port Orange, FL 32129-4103
Mailing address
958 Village TRL
Apt 509
Port Orange, FL 32127-7965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381771700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C3 Wellness, LLC | Chiropractor | Current | Accepting new patients |
| Parkway Chiropractic | Chiropractor | Past | Accepting new patients |
| Primecare of NW FL | Past | Accepting new patients |
Locations
1060 Cypress Pkwy
Ste 104
Kissimmee, FL 34759
Phone 4079149168 ext. 1
395 Village Dr
Poinciana, FL 34759
Phone 4079149168 ext. 2
Organizations & group practices 3
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.
-
dba C3 Wellness Spa
- Multi-Specialty Clinic/Center
- Kissimmee, FL
- NPI 1811490287
Chiropractor
-
- Chiropractor
- Panama City, FL
- NPI 1770732323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1760459200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "958 VILLAGE TRL",
"address_2": "APT 509",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321277965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 S CLYDE MORRIS BLVD",
"address_2": "PALMER CHIROPRACTIC CLINIC",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321294103",
"telephone_number": "386-763-2712",
"fax_number": "386-763-2726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNUM",
"first_name": "CHRISTOPHER",
"middle_name": "M",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381771700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.