Organization Active NPI

Advancedcare Chiropractic PA

  • Chiropractor
  • Brandon, FL
National Provider Identifier
1982645339
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8531 Issued in FL
Legal business name
ADVANCEDCARE CHIROPRACTIC PA
Practice address
115 Margaret St
Suite F
Brandon, FL 33511-5257
Phone
(813) 655-1310
Fax
(813) 655-1305
NPI assigned
Jun 9, 2006
Last updated
Mar 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Dr. David J Wages, D.C.NPI 1386610251
Title
Owner
Phone
(813) 655-1310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8531 FL Primary

Addresses

Primary practice location

115 Margaret St
Suite F
Brandon, FL 33511-5257

Mailing address

115 Margaret St
Suite F
Brandon, FL 33511-5257
Phone (813) 655-1310

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070220000027 FL Part B Supplier - Clinic/Group Practice 3577665736 Receives reassigned benefits from 1 practitioner
Practice locations: Brandon, FL

National Provider Directory

National Provider Directory

Locations

115 Margaret St
Ste F
Brandon, FL 33511
Phone (813) 385-4442

710 Oakfield Dr
Ste 266
Brandon, FL 33511
Phone (813) 655-1310

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1982645339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MARGARET ST",
            "address_2": "SUITE F",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115257",
            "telephone_number": "813-655-1310",
            "fax_number": "813-655-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MARGARET ST",
            "address_2": "SUITE F",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115257",
            "telephone_number": "813-655-1310",
            "fax_number": "813-655-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCEDCARE CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "WAGES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-655-1310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.