Individual provider Active NPI

Tonya Julayne Dacko, D.C.

  • Chiropractor
  • South Daytona, FL
National Provider Identifier
1932641636
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3710 Issued in MA
Practice address
2006 S Ridgewood Ave
South Daytona, FL 32119-2241
Phone
(386) 238-9740
Fax
(386) 238-9741
NPI assigned
Nov 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3710 MA Primary
Chiropractor 111N00000X CH12007 FL

Addresses

Primary practice location

2006 S Ridgewood Ave
South Daytona, FL 32119-2241

Mailing address

63 Winthrop St
Ste C1-C2
Taunton, MA 02780-6218
Phone (508) 880-3223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201210001330 MA Practitioner - Chiropractic 2860777042 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12007FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Chiropractor CurrentSince Nov 16, 2020 Accepting new patients
Back in Balance Chiropractic and Day Spa, LLC Chiropractor CurrentSince Nov 24, 2019 Accepting new patients
Florida Chiropractic Health Center, LLC Chiropractor CurrentSince Sep 13, 2018 Accepting new patients
New Smyrna Beach Chiropractic Clinic PLC Chiropractor CurrentSince Aug 21, 2023 Accepting new patients
Anchor Injury and Integrative Health, LLC CurrentSince Dec 17, 2023 Accepting new patients

Locations

1205 N Dixie Fwy
New Smyrna Beach, FL 32168
Phone (386) 423-5259

7806 Lake Underhill Rd
Ste 104
Orlando, FL 32822
Phone (407) 249-3005

2006 S Ridgewood Ave
South Daytona, FL 32119
Phone (386) 238-9740

450 William S Canning Blvd
Unit 3
Fall River, MA 02721
Phone (774) 520-0033

1054 County St
Somerset, MA 02726
Phone (508) 674-3340

63 Winthrop St
Ste C1C2
Taunton, MA 02780
Phone (508) 822-8514

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1932641636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 WINTHROP ST",
            "address_2": "STE C1-C2",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027806218",
            "telephone_number": "508-880-3223",
            "fax_number": "508-822-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 S RIDGEWOOD AVE",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321192241",
            "telephone_number": "386-238-9740",
            "fax_number": "386-238-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACKO",
        "first_name": "TONYA",
        "middle_name": "JULAYNE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-11",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3710",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.