Organization Active NPI

TLC Family Medical & Wellness Center, Inc

  • Chiropractor
  • Brooksville, FL
National Provider Identifier
1801256383
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0003808 Issued in FL
Legal business name
TLC FAMILY MEDICAL & WELLNESS CENTER, INC
Practice address
13315 Cortez Blvd.
Brooksville, FL 34613-4888
Phone
(352) 596-1900
Fax
(352) 596-9888
NPI assigned
Feb 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
David Kurt Dahmer, DC
Title
President
Phone
(352) 596-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0003808 FL Primary

Addresses

Primary practice location

13315 Cortez Blvd.
Brooksville, FL 34613-4888

Mailing address

13315 Cortez Blvd.
Brooksville, FL 34613-4888
Phone (352) 596-1900

Other identifiers 1

IdentifierTypeStateIssuer
I380641300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1801256383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13315 CORTEZ BLVD.",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346134888",
            "telephone_number": "352-596-1900",
            "fax_number": "352-596-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13315 CORTEZ BLVD.",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346134888",
            "telephone_number": "352-596-1900",
            "fax_number": "352-596-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC FAMILY MEDICAL & WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "DAHMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KURT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-596-1900",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0003808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I380641300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.