Individual provider Active NPI

Victor Manuel Santiago III, DC

  • Chiropractor
  • Poinciana, FL
National Provider Identifier
1144611252
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11369 Issued in FL
Practice address
827 Cypress Pkwy
Poinciana, FL 34759-3408
Phone
(407) 530-5819
NPI assigned
Feb 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11369 FL Primary

Addresses

Primary practice location

827 Cypress Pkwy
Poinciana, FL 34759-3408

Mailing address

827 Cypress Pkwy
Poinciana, FL 34759-3408
Phone (407) 530-5819

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160712001462 FL Practitioner - Chiropractic 1052603016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11788 E Colonial Dr
Unit 6
Orlando, FL 32817-4626
Phone (407) 704-4930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH11369FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Onehealth Chiropractic Care, LLC Chiropractor CurrentSince Feb 1, 2017 Accepting new patients

Locations

11788 E Colonial Dr
Unit 6
Orlando, FL 32817
Phone (407) 704-4930

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1144611252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 CYPRESS PKWY",
            "city": "POINCIANA",
            "state": "FL",
            "postal_code": "347593408",
            "telephone_number": "407-530-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 CYPRESS PKWY",
            "city": "POINCIANA",
            "state": "FL",
            "postal_code": "347593408",
            "telephone_number": "407-530-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poinciana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.