Active NPI
J and J Chiropractic, LLC
Doing business as J and J Chiropractic
- Chiropractor
- Winter Garden, FL
National Provider Identifier
1053884718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- J AND J CHIROPRACTIC, LLC
- Doing business as
- J and J Chiropractic
- Practice address
- 14422 Shoreside Way # 110-805
Winter Garden, FL 34787-4938 - Phone
- (419) 290-9596
- NPI assigned
- Jan 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jamie Mahaney, DC
- Title
- Doctor of Chiropractic
- Phone
- (407) 625-6215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
14422 Shoreside Way # 110-805
Winter Garden, FL 34787-4938
Mailing address
14422 Shoreside Way # 110-805
Winter Garden, FL 34787-4938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RU577809 | Other | OH | DRIVERS LICENSE |
Other names 1
- J and J Chiropractic
National Provider Directory
National Provider Directory- Tax ID family
- J and J Chiropractic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Winter Garden, FL
- NPI 1396418703
Locations
2525 Frontage Rd
Davenport, FL 33837
14422 Shoreside Way
#110805
Winter Garden, FL 34787
Phone (407) 625-6215
845 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone (419) 290-9596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627603200000",
"number": "1053884718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14422 SHORESIDE WAY # 110-805",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347874938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14422 SHORESIDE WAY # 110-805",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347874938",
"telephone_number": "419-290-9596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J AND J CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-05",
"last_updated": "2021-07-30",
"certification_date": "2020-09-07",
"status": "A",
"authorized_official_last_name": "MAHANEY",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "407-625-6215",
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "RU577809",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "J and J Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.