Organization Active NPI

Edgewood Healthcare and Rehab CNTR., LLC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1154664340
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8751 Issued in FL
Legal business name
EDGEWOOD HEALTHCARE AND REHAB CNTR., LLC
Practice address
5205 S Orange Ave
# 207
Orlando, FL 32809-3068
Phone
(407) 409-7811
NPI assigned
Apr 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Dr. H Dennis Harrison, D..C.
Title
Owner
Phone
(407) 409-7811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 8751 FL Primary

Addresses

Primary practice location

5205 S Orange Ave
# 207
Orlando, FL 32809-3068

Mailing address

5205 S Orange Ave
#207
Orlando, FL 32809-3068
Phone (407) 409-7811

National Provider Directory

National Provider Directory

Locations

5205 S Orange Ave
Ste 207
Orlando, FL 32809
Phone (407) 409-7811

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1154664340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 S ORANGE AVE",
            "address_2": "#207",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328093068",
            "telephone_number": "407-409-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 S ORANGE AVE",
            "address_2": "# 207",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328093068",
            "telephone_number": "407-409-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD HEALTHCARE AND REHAB CNTR., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-409-7811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D..C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8751",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 5, 2013; 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.