Unknown Individual – Orthopedic Chiropractor, NPI 1801853734
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2013-08-20. Reason: Conviction of program-related crimes (mandatory; min. 5 years).
Orthopedic Chiropractor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
542, North Ridgewood Avenue, Holly Hill, Daytona Beach, Volusia County, Florida, 32114, United States
DAYTONA BEACH, FL 321142170
Phone: (386) 258-7494
Fax: (386) 253-0365
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32114)
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