Organization Active NPI

Creative Chiropractic Care, LLC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1144508748
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8929 Issued in FL
Legal business name
CREATIVE CHIROPRACTIC CARE, LLC
Practice address
6965 Piazza Grande Ave
Suite 403
Orlando, FL 32835-8779
Phone
(407) 757-0824
Fax
(407) 757-0843
NPI assigned
Jul 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Cori Rodriguez, DC
Title
Physician/Owner
Phone
(407) 757-0824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8929 FL Primary

Addresses

Primary practice location

6965 Piazza Grande Ave
Suite 403
Orlando, FL 32835-8779

Mailing address

6965 Piazza Grande Ave
Suite 403
Orlando, FL 32835-8779
Phone (407) 757-0824

Other identifiers 2

IdentifierTypeStateIssuer
1720009350OtherFLNPI
111N00000XOtherFLTAXONOMY

National Provider Directory

National Provider Directory

Locations

6965 Piazza Grande Ave
Ste 403
Orlando, FL 32835
Phone (407) 757-0824

NPI Registry JSON

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

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1144508748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 PIAZZA GRANDE AVE",
            "address_2": "SUITE 403",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358779",
            "telephone_number": "407-757-0824",
            "fax_number": "407-757-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 PIAZZA GRANDE AVE",
            "address_2": "SUITE 403",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358779",
            "telephone_number": "407-757-0824",
            "fax_number": "407-757-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CHIROPRACTIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-30",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CORI",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "407-757-0824",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720009350",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "111N00000X",
            "state": "FL"
        }
    ],
    "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 Jul 10, 2015; 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.