Individual provider Active NPI

Victor Hugo Gomez, DC

  • Chiropractor
  • Tampa, FL
National Provider Identifier
1871579714
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8856 Issued in FL
Practice address
13911 N Dale Mabry Hwy Ste 107
Tampa, FL 33618-2414
Phone
(813) 915-5347
Fax
(813) 252-1380
NPI assigned
Dec 22, 2005
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006598 GA
Chiropractor 111N00000X CH8856 FL 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 (813) 915-5347

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318003751 FL Practitioner - Chiropractic 2365463411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006598GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gomez Chiropractic CurrentSince Feb 4, 2024 Accepting new patients
Dr Gomez Chiropractic, LLC Chiropractor CurrentSince Mar 11, 2024 Accepting new patients
Millennium Medical Inc Chiropractor Past Accepting new patients
Cardiothoracic Surgery of Hyde Park Inc Chiropractor Past Accepting new patients
Vitamundo LLC Chiropractor Past Accepting new patients
Vida Wellness Center, LLC Chiropractor Past Accepting new patients

Locations

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

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1871579714",
    "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": "813-915-5347",
            "fax_number": "813-252-1380"
        },
        {
            "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": "813-915-5347",
            "fax_number": "813-252-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "VICTOR",
        "middle_name": "HUGO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "006598",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8856",
            "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 Jan 30, 2024; 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.