Colin G Buck, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12091 Issued in FL

Practice address

4150 A1A
Apartment 103
Vero Beach, FL 32963-5400

Phone

(772) 217-9442

NPI assigned

Aug 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Buck Chiropractic LLC

  • Chiropractor
  • Vero Beach, FL
  • NPI 1770235533
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1952591257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 A1A",
            "address_2": "APARTMENT 103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329635400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 A1A",
            "address_2": "APARTMENT 103",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329635400",
            "telephone_number": "772-217-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "COLIN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008191",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oliver Zico Bsirini, DMD
• Alfons Bucaj, D.M.D.
• Christina Buchanan
• Buck Chiropractic LLC
• Christi Buck, RD
• Catalina Bulla, PA-C
• Latoya Bullard
• Anna Bullington
• Samantha Burbank
• Michelle R Burberry, MASSAGE THERAPIST

• Chiropractor in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.