NPIMap

Organization Active NPI

Deltona Chiropractic & Advanced Pain Manangement Center LLC

Doing business as Damwc

  • Chiropractor
  • Deltona, FL
National Provider Identifier
1881869543
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2246 Issued in FL
Legal business name
DELTONA CHIROPRACTIC & ADVANCED PAIN MANANGEMENT CENTER LLC
Doing business as
Damwc
Practice address
1240 E Normandy Blvd
Deltona, FL 32725-8484
Phone
(386) 574-1464
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Authorized official

Name
Dr. Randy Leo Chaulk, DCNPI 1821274127
Title
Owner/Chiropractor
Phone
(386) 574-1464

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 CH2246 FL Primary

Addresses

Primary practice location

1240 E Normandy Blvd
Deltona, FL 32725-8484

Mailing address

1240 E Normandy Blvd
Deltona, FL 32725-8484
Phone (386) 574-1464

Other names 1

  • DAMWC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1881869543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E NORMANDY BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258484",
            "telephone_number": "386-574-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E NORMANDY BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258484",
            "telephone_number": "386-574-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTONA CHIROPRACTIC & ADVANCED PAIN MANANGEMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "CHAULK",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "386-574-1464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAMWC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.