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OCEAN DRIVE CHIROPRACTIC & WELLNESS CENTER
NPI 1457511172
Chiropractor in Hollywood, FL

Active since June 16, 2008
3800 S OCEAN DR STE 230, HOLLYWOOD, FL 33019(954) 391-7864(954) 391-8468 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ocean Drive Chiropractic & Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCEAN DRIVE CHIROPRACTIC & WELLNESS CENTER (NPI 1457511172) is a healthcare organization registered as a chiropractor in Hollywood, Florida and active in the NPI registry since June 2008. The organization lists Lev Sudakov, President, as its authorized official.

NPPES Registry Identity

NPI1457511172
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLEV SUDAKOV DC PA
Location Address3800 S OCEAN DR STE 230Hollywood, FL 33019-2930
Mailing Address3800 S Ocean Dr Ste 230Hollywood, FL 33019-2930 · (954) 391-7864 · Fax (954) 391-8468
Phone(954) 391-7864
Fax(954) 391-8468
Organization SubpartNo
Authorized OfficialLev SudakovPresident · (954) 391-7864
Enumeration DateJune 16, 2008
Last NPPES UpdateJuly 1, 2019
✔ NPI 1457511172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH8450
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3800 S OCEAN DR STE 230, Hollywood, FL 33019
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Other Names 1

Doing Business AsOcean Drive Chiropractic & Wellness Center

Other Identifiers 1

Medicaid000170100FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ocean Drive Chiropractic & Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20080826000329Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ocean Drive Chiropractic & Wellness Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lev Sudakov, DC
Chiropractic
NPI 1376540468
1801 S OCEAN DR SUITE E
Hallandale Beach, FL 33009
(954) 391-7864
✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lev Sudakov Dc PA's NPI number?

The NPI number for Lev Sudakov Dc PA is 1457511172. It was assigned to this organization in the NPPES registry on June 16, 2008. The provider is doing business as Ocean Drive Chiropractic & Wellness Center.

Where is Lev Sudakov Dc PA located?

Lev Sudakov Dc PA is located at 3800 S Ocean Dr Ste 230, Hollywood, FL 33019. The listed phone number is (954) 391-7864.

What is Lev Sudakov Dc PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lev Sudakov Dc PA enrolled in Medicare?

Yes. Lev Sudakov Dc PA is registered in the Medicare PECOS enrollment system.

When is Lev Sudakov Dc PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lev Sudakov Dc PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lev Sudakov Dc PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lev Sudakov Dc PA was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.