Individual provider Active NPI

James Fernandes, D.C.

  • Chiropractor
  • Eustis, FL
National Provider Identifier
1154326981
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6679 Issued in FL
Practice address
910 Mount Homer Rd
Eustis, FL 32726-6258
Phone
(352) 357-8615
Fax
(357) 357-5873
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6679 FL Primary

Addresses

Primary practice location

910 Mount Homer Rd
Eustis, FL 32726-6258

Mailing address

910 Mount Homer Rd
Eustis, FL 32726-6258
Phone (352) 357-8615

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000283 FL Practitioner - Chiropractic 1951434406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Health Care Center IncGroup PAC ID 9830285444, 3 clinicians

Practice addresses (Care Compare)

910 Mount Homer Rd
Eustis, FL 32726-6258
Phone (352) 357-8615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Health Care Center Inc Chiropractor CurrentSince Jul 3, 1999 Accepting new patients

Locations

910 Mount Homer Rd
Eustis, FL 32726
Phone (352) 357-8615

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIDDAD/Endpoint/DIDDAD

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1154326981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MOUNT HOMER RD",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266258",
            "telephone_number": "352-357-8615",
            "fax_number": "357-357-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MOUNT HOMER RD",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266258",
            "telephone_number": "352-357-8615",
            "fax_number": "357-357-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.