Individual provider Active NPI

Todd David Sarbak, D.C.

  • Chiropractor
  • Vero Beach, FL
National Provider Identifier
1902815442
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8015 Issued in FL
Practice address
973 37TH PL
Vero Beach, FL 32960-6541
Phone
(772) 713-4341
Fax
(772) 562-4411
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8015 FL Primary

Addresses

Primary practice location

973 37TH PL
Vero Beach, FL 32960-6541

Mailing address

1395 11TH LN
Vero Beach, FL 32960-2134
Phone (772) 713-4341

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050921000227 FL Practitioner - Chiropractic 2062446917 Practice locations: Vero Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3850 20TH St
Suite 3
Vero Beach, FL 32960-2472
Phone (772) 569-6402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1902815442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 11TH LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602134",
            "telephone_number": "772-713-4341",
            "fax_number": "772-562-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606541",
            "telephone_number": "772-713-4341",
            "fax_number": "772-562-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARBAK",
        "first_name": "TODD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.