NPIMap

Organization Active NPI

Bifsha Family Chiropractic

Doing business as Avalon park chiropractic

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1124426267
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11363 Issued in FL
Legal business name
BIFSHA FAMILY CHIROPRACTIC
Doing business as
Avalon park chiropractic
Practice address
425 S Avalon Park Blvd
Suite 1000
Orlando, FL 32828-6998
Phone
(407) 930-3696
Fax
(407) 930-3697
NPI assigned
Dec 5, 2014
Last updated
Dec 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Dr. Ivi Bifsha, D.CNPI 1710494240
Title
Owner/Chiropractor
Phone
(407) 930-3696

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH11363 FL Primary

Addresses

Primary practice location

425 S Avalon Park Blvd
Suite 1000
Orlando, FL 32828-6998

Mailing address

425 S Avalon Park Blvd
Suite 1000
Orlando, FL 32828-6998
Phone (407) 930-3696

Other names 1

  • Avalon park chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Avalon Park Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1124426267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S AVALON PARK BLVD",
            "address_2": "SUITE 1000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286998",
            "telephone_number": "407-930-3696",
            "fax_number": "407-930-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S AVALON PARK BLVD",
            "address_2": "SUITE 1000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286998",
            "telephone_number": "407-930-3696",
            "fax_number": "407-930-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIFSHA FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "BIFSHA",
        "authorized_official_first_name": "IVI",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "407-930-3696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon park chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 5, 2014; 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.