Organization Active NPI

Kimberly a. Besuden D.C., P.a.

  • Chiropractor
  • Winter Park, FL
National Provider Identifier
1033480751
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0006850 Issued in FL
Legal business name
KIMBERLY A. BESUDEN D.C., P.A.
Practice address
267 W Comstock Ave
Winter Park, FL 32789-4269
Phone
(407) 647-3244
Fax
(407) 647-4790
NPI assigned
Jan 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Mrs. Lynda Parker
Title
Billing Representative
Phone
(407) 839-3006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0006850 FL Primary

Addresses

Primary practice location

267 W Comstock Ave
Winter Park, FL 32789-4269

Mailing address

267 W Comstock Ave
Winter Park, FL 32789-4269
Phone (407) 647-3244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120619000161 FL Part B Supplier - Clinic/Group Practice 9335303544 Receives reassigned benefits from 2 practitioners
Practice locations: Eustis, FL; Winter Park, FL

National Provider Directory

National Provider Directory

Locations

2430 S Bay St
Eustis, FL 32726
Phone (352) 357-7244

267 W Comstock Ave
Winter Park, FL 32789
Phone (407) 647-3244

Practitioners & affiliated clinicians

Practitioners 3

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": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1033480751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 W COMSTOCK AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894269",
            "telephone_number": "407-647-3244",
            "fax_number": "407-647-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 W COMSTOCK AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894269",
            "telephone_number": "407-647-3244",
            "fax_number": "407-647-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY A. BESUDEN D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "407-839-3006",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0006850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.