Active NPI
Charles L Mitzelfeld, DC
- Chiropractor
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH5144
- Practice address
- 1395 N Military TRL
West Palm Beach, FL 33409-6016 - Phone
- (561) 684-0333
- Fax
- (561) 684-8587
- NPI assigned
- Jun 22, 2005
- Last updated
- Apr 3, 2008
- Sex
- Male
- Sole proprietor
- No
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 | CH5144 | FL | Primary |
Addresses
Primary practice location
1395 N Military TRL
West Palm Beach, FL 33409-6016
Mailing address
1395 N Military TRL
West Palm Beach, FL 33409-6016
Phone (561) 684-0333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381521800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14100 US Hwy 1
Juno Beach, FL 33408-1404
Phone (561) 626-6711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH5144 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Chiropractic Clinic Inc | Chiropractor | Current | Accepting new patients |
| Lantana Chiromed Centers | Chiropractor | Past | Accepting new patients |
Locations
14100 US Highway 1
Juno Beach, FL 33408
Phone (561) 262-9072
1195 N Military Trl
West Palm Beach, FL 33409
Phone (561) 683-4100
1395 N Military Trl
West Palm Beach, FL 33409
Phone (561) 683-0023
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Family Chiropractic Center
- Chiropractor
- West Palm Beach, FL
- NPI 1841354305
-
dba South Florida Spine and Rehab Centers
- Chiropractor
- West Palm Beach, FL
- NPI 1972815686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1932105335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 N MILITARY TRL",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096016",
"telephone_number": "561-684-0333",
"fax_number": "561-684-8587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 N MILITARY TRL",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096016",
"telephone_number": "561-684-0333",
"fax_number": "561-684-8587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITZELFELD",
"first_name": "CHARLES",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH5144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381521800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.