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MR. DALE E MORTENSON DC
NPI 1629149612
Chiropractor in Lynn Haven, FL

Active since November 13, 2006
1101 OHIO AVE, LYNN HAVEN, FL 32444(850) 265-6163(850) 265-4059 Get Directions Write a Review

NPPES record last updated: March 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Dale E Mortenson Dc NPPES

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

MR. DALE E MORTENSON DC (NPI 1629149612) is an individual chiropractor in Lynn Haven, Florida, licensed in Florida (CH4624) and active in the NPI registry since November 2006. He is a graduate of Palmer College Chiropractic - Davenport (1983).

NPPES Registry Identity

NPI1629149612
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. DALE E MORTENSONCredential: DC
Location Address1101 OHIO AVELynn Haven, FL 32444-2554
Mailing AddressPob 1960Lynn Haven, FL 32444-6960 · (850) 265-6163 · Fax (850) 265-4059
Phone(850) 265-6163
Fax(850) 265-4059
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1983
Enumeration DateNovember 13, 2006
Last NPPES UpdateMarch 18, 2015
✔ NPI 1629149612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH4624
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.
1101 OHIO AVE, Lynn Haven, FL 32444
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Other Identifiers 3

Medicare ID-Type Unspecified70497FL
Medicare UPINT84466
Other70497FL · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Dale E Mortenson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426143611
PECOS Enrollment IDI20071003000267

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMERALD SHORES CHIROPRACTIC LLC
Chiropractor
1101 OHIO AVE
LYNN HAVEN, FL 32444
Bay County (850) 265-6163
DR. GREGORY ALAN TAYLOR D.C.
Chiropractor
1101 OHIO AVE
LYNN HAVEN, FL 32444
Bay County (850) 265-6163
DALE E MORTENSON DC PA
Chiropractor
1101 OHIO AVE
LYNN HAVEN, FL 32444
Bay County (850) 265-6163

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 Dale Mortenson's NPI number?

The NPI number for Dale Mortenson is 1629149612. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Dale Mortenson located?

Dale Mortenson practices at 1101 Ohio Ave, Lynn Haven, FL 32444. The listed phone number is (850) 265-6163.

What is Dale Mortenson's specialty?

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

Is Dale Mortenson enrolled in Medicare?

Yes. Dale Mortenson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dale Mortenson was last updated on March 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.