Individual provider Active NPI

Christopher J Bott, D.C.

  • Chiropractor
  • Ship Bottom, NJ
National Provider Identifier
1942384540
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00506300 Issued in NJ
Practice address
382 W 9TH St
Ste 3
Ship Bottom, NJ 08008-4634
Phone
(609) 361-1800
Fax
(609) 361-8400
NPI assigned
Oct 24, 2006
Last updated
Sep 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00506300 NJ Primary

Addresses

Primary practice location

382 W 9TH St
Ste 3
Ship Bottom, NJ 08008-4634

Mailing address

382 W 9TH St
Ste 3
Ship Bottom, NJ 08008-4634
Phone (609) 361-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111114000446 NJ Practitioner - Chiropractic 8325212178 Practice locations: Manahawkin, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

145 E Bay Ave
Manahawkin, NJ 08050-3105
Phone (609) 361-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00506300NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Barnegat Spinal and Physical Rehabilitation , LLC Chiropractor Past Accepting new patients
Parello Chiropractic Center Chiropractor Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1942384540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 W 9TH ST",
            "address_2": "STE 3",
            "city": "SHIP BOTTOM",
            "state": "NJ",
            "postal_code": "080084634",
            "telephone_number": "609-361-1800",
            "fax_number": "609-361-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 W 9TH ST",
            "address_2": "STE 3",
            "city": "SHIP BOTTOM",
            "state": "NJ",
            "postal_code": "080084634",
            "telephone_number": "609-361-1800",
            "fax_number": "609-361-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTT",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00506300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ship Bottom, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.