Organization Active NPI

Nightlight Chiropractic LLC

  • Rehabilitation Chiropractor
  • Orlando, FL
National Provider Identifier
1104131358
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH9291 Issued in FL
Legal business name
NIGHTLIGHT CHIROPRACTIC LLC
Practice address
826 Menendez CT
Orlando, FL 32801-3631
Phone
(407) 982-7733
Fax
(407) 409-8360
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Dr. Andrew Cobb Merrill, D.C.
Title
Owner
Phone
(407) 982-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X CH9291 FL Primary

Addresses

Primary practice location

826 Menendez CT
Orlando, FL 32801-3631

Mailing address

826 Menendez CT
Orlando, FL 32801-3631
Phone (407) 982-7733

National Provider Directory

National Provider Directory

Locations

1802 Kuhl Ave
Ste 102
Orlando, FL 32806
Phone (407) 650-8075

114 Ernestine St
Orlando, FL 32801
Phone (407) 257-3063

826 Menendez Ct
Orlando, FL 32801
Phone (407) 982-7733

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1104131358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 MENENDEZ CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013631",
            "telephone_number": "407-982-7733",
            "fax_number": "407-409-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 MENENDEZ CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013631",
            "telephone_number": "407-982-7733",
            "fax_number": "407-409-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTLIGHT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "COBB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-982-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH9291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.