Delray Chiropractic Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8220 Issued in FL

Legal business name

DELRAY CHIROPRACTIC CENTER INC

Practice address

1080 S Federal Hwy
Boynton Beach, FL 33435-5614

Phone

(561) 272-2000

Fax

(561) 272-1111

NPI assigned

Dec 3, 2007

Last updated

Nov 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Conyers Jasper, DCNPI 1245269323

Title

Owner

Phone

(561) 272-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Nicole Conyers Jasper, D.C.

  • Chiropractor
  • Boynton Beach, FL
  • NPI 1245269323
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1992987895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 S FEDERAL HWY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355614",
            "telephone_number": "561-272-2000",
            "fax_number": "561-272-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 S FEDERAL HWY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355614",
            "telephone_number": "561-272-2000",
            "fax_number": "561-272-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELRAY CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "JASPER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "CONYERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-272-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "24877",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvette Deinla, RPT
• Patrick Dejoie
• Leeann Renee Del Pino, OTA
• Park Fraser Delgado
• Melanie Jane Dellinger, CRNA, ARNP
• Delta Health Group Inc (Boynton Health Care Center)
• Paula Ann Deluca, DPM
• Laura Delva, LCSW
• Sophia Delva, ARNP
• Jean Francky Demesiere, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.