Organization Active NPI

Yourchiro PO LLC

  • Chiropractor
  • Port Orange, FL
National Provider Identifier
1154069664
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
YOURCHIRO PO LLC
Practice address
3859 S Nova Rd
Port Orange, FL 32127-4950
Phone
(386) 492-7075
Fax
(386) 492-7360
NPI assigned
May 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Dr. Carol Learned, DCNPI 1063575017
Title
Owner
Phone
(480) 216-2361

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 Primary

Addresses

Primary practice location

3859 S Nova Rd
Port Orange, FL 32127-4950

Mailing address

3859 S Nova Rd
Port Orange, FL 32127-4950
Phone (386) 492-7075

Other identifiers 1

IdentifierTypeStateIssuer
CH9829OtherFLLISCENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL yourchiropo@gmail.com Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221018003160 FL Part B Supplier - Clinic/Group Practice 5193191021 Receives reassigned benefits from 1 practitioner
Practice locations: Port Orange, FL

National Provider Directory

National Provider Directory

Locations

3859 S Nova Rd
Port Orange, FL 32127
Phone (386) 492-7075

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1154069664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3859 S NOVA RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274950",
            "telephone_number": "386-492-7075",
            "fax_number": "386-492-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3859 S NOVA RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274950",
            "telephone_number": "386-492-7075",
            "fax_number": "386-492-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOURCHIRO PO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "LEARNED",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-216-2361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE",
            "identifier": "CH9829",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "yourchiropo@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "patient information not health related",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "questions and corncerns",
            "address_1": "3859 S Nova Rd",
            "city": "Port Orange",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321274950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.