Organization Active NPI

J and J Chiropractic, LLC

Doing business as J and J Chiropractic

  • Chiropractor
  • Winter Garden, FL
National Provider Identifier
1053884718
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Jul 30, 2021

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
RU577809OtherOHDRIVERS LICENSE

Other names 1

  • J and J Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
J and J Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.