Active NPI
Christopher Ivers, D.C.
- Chiropractor
- Sarasota, FL
National Provider Identifier
1801804919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11605
- Practice address
- 2250 Goldenrod Street
Sarasota, FL 34239-1379 - Phone
- (815) 353-9501
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | CH11605 | FL | Primary |
Addresses
Primary practice location
2250 Goldenrod Street
Sarasota, FL 34239-1379
Mailing address
2250 Goldenrod Street
Sarasota, FL 34239-1379
Phone (815) 353-9501
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5682027 | Other | IL | BCBS |
| 038006274 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200117000779 | FL | Practitioner - Chiropractic | 1951480912 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH11605 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indelicato Chiropractic, LLC | Current | Accepting new patients | |
| Mary Jo Baize OD PA | Past | Accepting new patients |
Locations
407 6th Ave E
Bradenton, FL 34208
Phone (941) 746-2612
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- Bradenton, FL
- NPI 1679307110
-
- Eyewear Supplier
- Sarasota, FL
- NPI 1518079656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1801804919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 GOLDENROD STREET",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342391379",
"telephone_number": "815-353-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 GOLDENROD STREET",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342391379",
"telephone_number": "815-353-9501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVERS",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5682027",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038006274",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.