Active NPI
Joao Lazarin, DC
- Chiropractor
- Lake Mary, FL
National Provider Identifier
1073233151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH13847
- Practice address
- 242 Wheelhouse LN Ste 1210
Lake Mary, FL 32746-3670 - Phone
- (407) 955-5053
- NPI assigned
- Aug 30, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH13847 | FL | Primary |
Addresses
Primary practice location
242 Wheelhouse LN Ste 1210
Lake Mary, FL 32746-3670
Mailing address
564 Reed Canal Rd Apt 7
South Daytona, FL 32119-3263
Phone (386) 212-4299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH13847 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1073233151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 REED CANAL RD APT 7",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321193263",
"telephone_number": "386-212-4299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 WHEELHOUSE LN STE 1210",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463670",
"telephone_number": "407-955-5053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZARIN",
"first_name": "JOAO",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH13847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.