Organization Active NPI

West Pasco Chiropractic Clinic LLC

  • Chiropractor
  • Trinity, FL
National Provider Identifier
1902403314
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WEST PASCO CHIROPRACTIC CLINIC LLC
Practice address
1928 Duck Slough Blvd
Trinity, FL 34655-5286
Phone
(727) 514-8532
NPI assigned
Oct 8, 2020
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Dr. Dustin Gage Dingus, DCNPI 1902418833
Title
Owner/Chiropractor
Phone
(727) 418-7612

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

1928 Duck Slough Blvd
Trinity, FL 34655-5286

Mailing address

1928 Duck Slough Blvd
Trinity, FL 34655-5286
Phone (727) 514-8532

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.westpascochiro.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201109001762 FL Part B Supplier - Clinic/Group Practice 8224448907 Receives reassigned benefits from 1 practitioner
Practice locations: Trinity, FL

National Provider Directory

National Provider Directory

Locations

1928 Duck Slough Blvd
Trinity, FL 34655
Phone (727) 514-8532

Practitioners & affiliated clinicians

Practitioners 1

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": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1902403314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 DUCK SLOUGH BLVD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555286",
            "telephone_number": "727-514-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 DUCK SLOUGH BLVD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555286",
            "telephone_number": "727-514-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PASCO CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "DINGUS",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "GAGE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "727-418-7612",
        "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.westpascochiro.com",
            "affiliation": "N",
            "address_1": "1928 Duck Slough Blvd",
            "city": "Trinity",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346555286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.