Active NPI
Daniel Anthony Klimek, DC
- Chiropractor
- Port Orange, FL
National Provider Identifier
1871771980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0003557
- Practice address
- 3776 Grove View LN
Port Orange, FL 32129-8982 - Phone
- (389) 316-9239
- Fax
- (386) 767-4714
- NPI assigned
- Jan 31, 2008
- Last updated
- Jan 31, 2008
- 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 | CH0003557 | FL | Primary |
Addresses
Primary practice location
3776 Grove View LN
Port Orange, FL 32129-8982
Mailing address
3776 Grove View Lane
Port Orange, FL 32129-8982
Phone (389) 316-9239
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0003557 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1871771980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3776 GROVE VIEW LANE",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321298982",
"telephone_number": "389-316-9239",
"fax_number": "386-767-4714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3776 GROVE VIEW LN",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321298982",
"telephone_number": "389-316-9239",
"fax_number": "386-767-4714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIMEK",
"first_name": "DANIEL",
"middle_name": "ANTHONY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-31",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0003557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.