Active NPI
Jasmine Perez, D.C.
- Rehabilitation Chiropractor
- Orange City, FL
National Provider Identifier
1144640863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CH11137
- Practice address
- 747 Fawn Ridge Dr Ste 100
Orange City, FL 32763-8268 - Phone
- (386) 259-9051
- Fax
- (386) 259-4243
- NPI assigned
- Apr 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH11137 | FL | Primary |
Addresses
Primary practice location
747 Fawn Ridge Dr Ste 100
Orange City, FL 32763-8268
Mailing address
747 Fawn Ridge Dr Ste 100
Orange City, FL 32763-8268
Phone (386) 259-9051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH11137 | FL | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Management LLC | Chiropractor | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/2312/brand/1/csg/1/fhir/r4
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.
-
- Chiropractor
- Ocoee, FL
- NPI 1265758924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1144640863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 FAWN RIDGE DR STE 100",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638268",
"telephone_number": "386-259-9051",
"fax_number": "386-259-4243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 FAWN RIDGE DR STE 100",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638268",
"telephone_number": "386-259-9051",
"fax_number": "386-259-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JASMINE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-21",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "FL",
"license": "CH11137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.