Organization Active NPI

Divine Chiropractic LLC

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1053019141
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DIVINE CHIROPRACTIC LLC
Practice address
626 Renaissance PT Apt 209
Altamonte Springs, FL 32714-3520
Phone
(407) 853-2798
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Dr. Desla Charlery, DCNPI 1477208205
Title
Doctor/Authorized Representative
Phone
(412) 652-6921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

626 Renaissance PT Apt 209
Altamonte Springs, FL 32714-3520

Mailing address

626 Renaissance PT Apt 209
Altamonte Springs, FL 32714-3520

Other names 1

  • Divine Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1053019141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 RENAISSANCE PT APT 209",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 RENAISSANCE PT APT 209",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143520",
            "telephone_number": "407-853-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "CHARLERY",
        "authorized_official_first_name": "DESLA",
        "authorized_official_title_or_position": "DOCTOR/AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "412-652-6921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.