Organization Active NPI

Dr Gomez Chiropractic, LLC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1871242347
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR GOMEZ CHIROPRACTIC, LLC
Practice address
13911 N Dale Mabry Hwy Ste 107
Tampa, FL 33618-2414
Phone
(727) 916-0407
Fax
(813) 242-3412
NPI assigned
Mar 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Dr. Victor Hugo Gomez, DCNPI 1871579714
Title
Member/Manager
Phone
(727) 916-0407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

13911 N Dale Mabry Hwy Ste 107
Tampa, FL 33618-2414

Mailing address

13911 N Dale Mabry Hwy Ste 107
Tampa, FL 33618-2414
Phone (727) 916-0407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240318003755 FL Part B Supplier - Clinic/Group Practice 9133566714 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

13911 N Dale Mabry Hwy
Ste 107
Tampa, FL 33618
Phone (813) 915-5347

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1871242347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 N DALE MABRY HWY STE 107",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182414",
            "telephone_number": "727-916-0407",
            "fax_number": "813-242-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 N DALE MABRY HWY STE 107",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182414",
            "telephone_number": "727-916-0407",
            "fax_number": "813-242-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GOMEZ CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "HUGO",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "727-916-0407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.