Organization Active NPI

Pine Castle Chiropractic Center, Inc

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1003081761
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7807 Issued in FL
Legal business name
PINE CASTLE CHIROPRACTIC CENTER, INC
Practice address
707 E Oak Ridge Rd.
Orlando, FL 32809-4204
Phone
(407) 855-7199
Fax
(407) 855-7237
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Mr. William Simon Hoffmeister II, DC
Title
Owner
Phone
(407) 855-7199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7807 FL Primary

Addresses

Primary practice location

707 E Oak Ridge Rd.
Orlando, FL 32809-4204

Mailing address

707 E Oak Ridge Rd.
Orlando, FL 32809-4204
Phone (407) 855-7199

Other identifiers 6

IdentifierTypeStateIssuer
381326600MedicaidFL
593466707OtherFLCHIRO. ALLIANCE CORPORATION
118300OtherFLAMERIGROUP
285910OtherFLAVMED
55971OtherFLBCBS
245138OtherFLWELLCARE

National Provider Directory

National Provider Directory

Locations

707 E Oak Ridge Rd
Pine Castle, FL 32809
Phone (407) 855-7199

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1003081761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 E OAK RIDGE RD.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094204",
            "telephone_number": "407-855-7199",
            "fax_number": "407-855-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E OAK RIDGE RD.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094204",
            "telephone_number": "407-855-7199",
            "fax_number": "407-855-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE CASTLE CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "HOFFMEISTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-855-7199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381326600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIRO. ALLIANCE CORPORATION",
            "identifier": "593466707",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "118300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "285910",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55971",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "245138",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.