Organization Active NPI

Dishman Chiropractic and Wellness Center Inc

  • Chiropractor
  • Celebration, FL
National Provider Identifier
1083231401
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DISHMAN CHIROPRACTIC AND WELLNESS CENTER INC
Practice address
606 Front Street
Celebration, FL 34747
Phone
(321) 939-1010
Fax
(321) 900-4563
NPI assigned
Jul 1, 2020
Last updated
Sep 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Mr. James Tyler Dishman, DCNPI 1689680340
Title
Owner
Phone
(321) 939-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

606 Front Street
Celebration, FL 34747

Mailing address

606 Front Street
Celebration, FL 34747
Phone (321) 939-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200818001019 FL Part B Supplier - Clinic/Group Practice 6103242417 Receives reassigned benefits from 2 practitioners
Practice locations: Celebration, FL

National Provider Directory

National Provider Directory

Locations

605 Celebration Ave
Kissimmee, FL 34747
Phone (321) 559-4144

606 Front St
Kissimmee, FL 34747
Phone (321) 939-1010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1083231401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 FRONT STREET",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "34747",
            "telephone_number": "321-939-1010",
            "fax_number": "321-900-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 FRONT STREET",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "34747",
            "telephone_number": "321-939-1010",
            "fax_number": "321-900-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISHMAN CHIROPRACTIC AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "DISHMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-939-1010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.