Complete Health Physicians Associates, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 7700 Issued in FL

Legal business name

COMPLETE HEALTH PHYSICIANS ASSOCIATES, INC.

Practice address

1950 E Irlo Bronson Memorial Hwy Ste 200
Kissimmee, FL 34744-5394

Phone

(407) 847-4101

Fax

(407) 847-4728

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bryon Moore, D.C.NPI 1679522734

Title

President

Phone

(407) 847-4101

Specialties & licenses 2

Addresses

Other names 1

• Kissimmee Family Wellness Center and Winter Park Family Wellness Cente Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryon R Moore, D.C.

  • Chiropractor
  • Kissimmee, FL
  • NPI 1679522734
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1063589158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 E IRLO BRONSON MEMORIAL HWY STE 200",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445394",
            "telephone_number": "407-847-4101",
            "fax_number": "407-847-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E IRLO BRONSON MEMORIAL HWY STE 200",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445394",
            "telephone_number": "407-847-4101",
            "fax_number": "407-847-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HEALTH PHYSICIANS ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRYON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-847-4101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 7700",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kissimmee Family Wellness Center and Winter Park Family Wellness Cente",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kissimmee Family Wellness Center and Winter Park Family Wellness Cente",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.