Active NPI
Jose Gomez, D.C
- Chiropractor
- Boynton Beach, FL
National Provider Identifier
1982031902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11006
- Practice address
- 1550 N Federal Hwy
Suite 15
Boynton Beach, FL 33435-2810 - Phone
- (561) 742-3554
- NPI assigned
- Oct 4, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH11006 | FL | Primary |
Addresses
Primary practice location
1550 N Federal Hwy
Suite 15
Boynton Beach, FL 33435-2810
Mailing address
11612 NW 50TH Ter
Doral, FL 33178-3554
Phone (315) 246-3514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH11006 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380844800000",
"number": "1982031902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11612 NW 50TH TER",
"city": "DORAL",
"state": "FL",
"postal_code": "331783554",
"telephone_number": "315-246-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 N FEDERAL HWY",
"address_2": "SUITE 15",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334352810",
"telephone_number": "561-742-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "JOSE",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-04",
"last_updated": "2013-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.