Titan Spine and Sports Medicine Inc

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH8788 Issued in FL

Legal business name

TITAN SPINE AND SPORTS MEDICINE INC

Practice address

4961 Van Dyke Rd
Lutz, FL 33558-4813

Phone

(813) 908-8776

Fax

(813) 908-8704

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Austin Emil Dacanay, D.C.NPI 1619964491

Title

President

Phone

(813) 908-8776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Austin Emil Dacanay, DC, MS, CCSP, ICSSD

  • Chiropractor
  • Lutz, FL
  • NPI 1619964491

  Sports Physician

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1962581041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4961 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584813",
            "telephone_number": "813-908-8776",
            "fax_number": "813-908-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4961 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584813",
            "telephone_number": "813-908-8776",
            "fax_number": "813-908-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITAN SPINE AND SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "DACANAY",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "EMIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-908-8776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH8788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Christine Timony
• Mandi Lynne Timothy, FNP-C
• Adria E Tirado, MD
• Nangalya Tulasi Sirisha Tirthala, MD
• Titan Health PA
• Brian Alex Tobin
• Evan Tokarz
• Fernando Torga
• Ana Zoila Torres Alvarez
• Adriana Maria Torres de la Rosa

• Sports Physician Chiropractor in Lutz, FL
• Providers in Lutz, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.