Palm Bay Chiropractic and Wellness, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PALM BAY CHIROPRACTIC AND WELLNESS, PLLC

Doing business as

Melbourne Chiropractic Spine and Injury Center

Practice address

490 Centre Lake Dr NE Ste 100a
Palm Bay, FL 32907-1113

Phone

(321) 499-4608

Fax

(321) 499-4607

NPI assigned

Jul 5, 2022

Last updated

Nov 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David M. Durkin, D.C.NPI 1518046812

Title

Chiropractic Physician

Phone

(321) 499-4608

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Melbourne Chiropractic Spine and Injury Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• David Martin Durkin, DC

  • Chiropractor
  • San Antonio, TX
  • NPI 1518046812

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1780317040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 CENTRE LAKE DR NE STE 100A",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071113",
            "telephone_number": "321-499-4608",
            "fax_number": "321-499-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 CENTRE LAKE DR NE STE 100A",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071113",
            "telephone_number": "321-499-4608",
            "fax_number": "321-499-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BAY CHIROPRACTIC AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-11-21",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "DURKIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "321-499-4608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "CH11572",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melbourne Chiropractic Spine and Injury Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Melbourne Chiropractic Spine and Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Picardo Pablo
• Marisse Padron, MD
• Arlene Pagan-Palermo, PTA
• Carmen Judith Pagan, M.D.
• Palm Bay Anesthesia Associates PA
• Palm Bay Dental Center PA
• Palm Bay FL Opco LLC
• Palm Bay Health Care Associates LLC (Palms Rehabilitation and Healthcare Center, The)
• Palm Bay Hearing Aid Center
• Palm Bay Hospital, Inc.

• Chiropractor in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.