Heathrow Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9620 Issued in FL

Legal business name

HEATHROW CHIROPRACTIC INC

Practice address

120 International Pkwy
Suite 124
Lake Mary, FL 32746-5031

Phone

(407) 829-2133

Fax

(407) 829-2135

NPI assigned

Jan 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mark Pegan, D.C.NPI 1700031960

Title

Owner/Chiropractor

Phone

(407) 829-2133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

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

• Mark William Pegan, D.C.

  • Chiropractor
  • Lake Mary, FL
  • NPI 1700031960
  Medicare reassignment NPD Authorized official
• Gregory Joseph Booth, DC

  • Chiropractor
  • Orlando, FL
  • NPI 1811735806
  Medicare reassignment NPD
• Lauren Pitstick Sanderson

  • Chiropractor
  • Orlando, FL
  • NPI 1831616119
  Medicare reassignment NPD
• Jenette Stover Auchter

  • Chiropractor
  • Great Falls, VA
  • NPI 1669750980

  FL

  Medicare reassignment NPD
• Matthew Seth Justus, D.C.

  • Chiropractor
  • Lake Mary, FL
  • NPI 1467261420
  NPD
• Cameron Brown, DC

  • Chiropractor
  • Clermont, FL
  • NPI 1962023101
  NPD (past)

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1083918023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 INTERNATIONAL PKWY",
            "address_2": "SUITE 124",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465031",
            "telephone_number": "407-829-2133",
            "fax_number": "407-829-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 INTERNATIONAL PKWY",
            "address_2": "SUITE 124",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465031",
            "telephone_number": "407-829-2133",
            "fax_number": "407-829-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHROW CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "PEGAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "407-829-2133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Kiana Haynes, MH27091
• Megan Hazzard, FNP
• Health Matters Acupuncture & Spa, LC
• Healthy Smiles of Orlando LLC
• Hearing Healthcare Solutions, Inc. (Audibel Hearing Center)
• Heathrow Dental LLC
• Heathrow Family Chiropractic
• Heathrow Imaging LLC
• Heathrow Imaging LLC
• Heathrow Internal Medicine LLC

• Chiropractor in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.