Individual provider Active NPI

Lauren Uddo, DC

  • Chiropractor
  • Deland, FL
National Provider Identifier
1033873666
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13779 Issued in FL
Practice address
1770 S Woodland Blvd
Deland, FL 32720-7915
Phone
(386) 414-7440
NPI assigned
Oct 29, 2021
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13779 FL Primary

Addresses

Primary practice location

1770 S Woodland Blvd
Deland, FL 32720-7915

Mailing address

1770 S Woodland Blvd
Deland, FL 32720-7915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220923001266 FL Practitioner - Chiropractic 0143605378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Medical Florida LLCGroup PAC ID 1355570474, 16 clinicians

Practice addresses (Care Compare)

1770 S Woodland Blvd
Deland, FL 32720-7915
Phone (407) 889-3223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13779FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Next Medical Florida LLC Chiropractor CurrentSince Jul 1, 2022 Accepting new patients
Frontier Spine and Health Care LLC Chiropractor PastSince Oct 1, 2021 Accepting new patients

Locations

1764 S Woodland Blvd
Deland, FL 32720
Phone (386) 734-9400

1770 S Woodland Blvd
Deland, FL 32720
Phone (386) 414-7440

877 S Orange Blossom Trl
Forest City, FL 32703
Phone (407) 889-3223

6285 Minton Rd NE
Palm Bay, FL 32907
Phone (321) 306-0300

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1033873666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327207915",
            "telephone_number": "386-414-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDO",
        "first_name": "LAUREN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.