Individual provider Active NPI

Linda Diane Binda, D.C.

  • Chiropractor
  • Palm Bay, FL
National Provider Identifier
1861415465
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7092 Issued in FL
Practice address
1639 Georgia St NE
Palm Bay, FL 32907-2568
Phone
(321) 726-3917
Fax
(321) 729-9728
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7092 FL Primary

Addresses

Primary practice location

1639 Georgia St NE
Palm Bay, FL 32907-2568

Mailing address

1639 Georgia St NE
Palm Bay, FL 32907-2568
Phone (321) 726-3917

Other identifiers 1

IdentifierTypeStateIssuer
3812979-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7092FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1861415465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 GEORGIA ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072568",
            "telephone_number": "321-726-3917",
            "fax_number": "321-729-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 GEORGIA ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072568",
            "telephone_number": "321-726-3917",
            "fax_number": "321-729-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINDA",
        "first_name": "LINDA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3812979-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.