Joseph Bandur

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 7683 Issued in FL

Practice address

17307 Pagonia Dr # 100
Clermont, FL 34711-5932

Phone

(352) 989-4941

Fax

(352) 404-6971

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• FL HMO
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• FL HMO C-SNP
• AL HMO D-SNP
• AL HMO
• FL HMO D-SNP
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• FL PPO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bandur Chiropractic Center

  • Chiropractor
  • Clermont, FL
  • NPI 1952662728
  NPD (past) Authorized official
• Clermont Neurologic and Chiropractic,LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Clermont, FL
  • NPI 1487977237

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1013079037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17307 PAGONIA DR # 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115932",
            "telephone_number": "352-989-4941",
            "fax_number": "352-404-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17307 PAGONIA DR # 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115932",
            "telephone_number": "352-989-4941",
            "fax_number": "352-404-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDUR",
        "first_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 7683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008389400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Marie Ball
• Angela M. Balon, D.O.
• Paola Amada Balseca, RMHCI
• Rodrigo Baltodano, MD
• Bandur Chiropractic Center
• Joelle June Bangsund, MSW, LCSW
• Trinae Banks-Pinder, M.ED
• Krystin Paige Banks, IMH23880
• Mina Banoub, MD
• Chantal P Baptiste, APRN

• Chiropractor in Clermont, FL
• Providers in Clermont, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.