Active NPI
Daniel Tuttle, DC, LCSW
- Chiropractor
- Palm Harbor, FL
National Provider Identifier
1932385580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12257
- Practice address
- 2595 Tampa Rd Ste H
Palm Harbor, FL 34684 - Phone
- (727) 509-3760
- NPI assigned
- Jan 14, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14564 | FL | |
| Clinical Social Worker | 1041C0700X | LC11454 | ME | |
| Clinical Social Worker | 1041C0700X | CSW004131 | GA | |
| Chiropractor | 111N00000X | 12257 | FL | Primary |
Addresses
Primary practice location
2595 Tampa Rd Ste H
Palm Harbor, FL 34684
Mailing address
2595 Tampa Rd Ste H
Palm Harbor, FL 34684-3130
Phone (727) 509-3760
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 428288946C | Medicaid | GA | |
| 432058399 | Medicaid | ME | |
| VX0090 | Other | GA | MEDICARE PTAN |
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, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2531 Landmark Dr
Suite 207
Clearwater, FL 33761-3928
Phone (727) 509-3760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW004131 | GA | MD | Clinical Social Worker |
| LC11454 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuttle Health, LLC | Current | Accepting new patients | |
| Rumford Community Family Health Center, Inc. | Past | Accepting new patients |
Locations
2531 Landmark Dr
Ste 207
Clearwater, FL 33761
Phone (727) 509-3760
2595 Tampa Rd
Ste H
Palm Harbor, FL 34684
Phone (678) 334-1504
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 and National Provider Directory roles.
-
- Clinic/Center
- Palm Harbor, FL
- NPI 1205341930
-
dba Swift River Family Medicine
- Rural Health Clinic/Center
- Rumford, ME
- NPI 1578599775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1932385580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2595 TAMPA RD STE H",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843130",
"telephone_number": "727-509-3760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2595 TAMPA RD STE H",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "34684",
"telephone_number": "727-509-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTTLE",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "DC, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-14",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "14564",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC11454",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004131",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "12257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "428288946C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432058399",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "VX0090",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.