Individual provider Active NPI

Gregory Enos, DC

  • Chiropractor
  • Kissimmee, FL
National Provider Identifier
1073384582
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14821 Issued in FL
Practice address
335 W Oak St
Kissimmee, FL 34741-4421
Phone
(407) 870-1959
NPI assigned
Jan 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14821 FL Primary

Addresses

Primary practice location

335 W Oak St
Kissimmee, FL 34741-4421

Mailing address

7235 Azure Cir Apt 6415
Orlando, FL 32836-7142

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

LicenseStateTypeSpecialty
14821FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Trust LLC Chiropractor CurrentSince Jan 14, 2024 Accepting new patients
Patient Management Consulting LLC Chiropractor PastSince Jan 14, 2024 Accepting new patients

Locations

335 W Oak St
Kissimmee, FL 34741
Phone (407) 870-1959

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1073384582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 AZURE CIR APT 6415",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328367142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414421",
            "telephone_number": "407-870-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOS",
        "first_name": "GREGORY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.