Individual provider Active NPI

Robert Neil Devico Gewant, D.C.

  • Chiropractor
  • Palm Beach Gardens, FL
National Provider Identifier
1912204124
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 10248 Issued in FL
Practice address
2401 Pga Blvd, #132
Palm Beach Gardens, FL 33410-3515
Phone
(561) 627-5816
NPI assigned
Feb 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10248 FL Primary

Addresses

Primary practice location

2401 Pga Blvd, #132
Palm Beach Gardens, FL 33410-3515

Mailing address

2401 Pga Blvd, #132
Palm Beach Gardens, FL 33410-3515
Phone (561) 627-5816

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10248FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1912204124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PGA BLVD, #132",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103515",
            "telephone_number": "561-627-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PGA BLVD, #132",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103515",
            "telephone_number": "561-627-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVICO GEWANT",
        "first_name": "ROBERT",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.