The Modern Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

THE MODERN CHIROPRACTIC, LLC

Practice address

4435 Edgewater Dr
Orlando, FL 32804-1229

Phone

(571) 212-9981

NPI assigned

Sep 18, 2018

Organization subpart

No

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

Authorized official

Name

Alireza Ostovar, DCNPI 1275046070

Title

Chiropractor

Phone

(571) 212-9981

Specialties & licenses 1

Addresses

Other names 1

• The Modern Chiropractic, LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alireza Ostovar, DC

  • Chiropractor
  • Forestville, MD
  • NPI 1275046070
  NPD (past) Authorized official

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1154805869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041229",
            "telephone_number": "571-212-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041229",
            "telephone_number": "571-212-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MODERN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "OSTOVAR",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "571-212-9981",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Modern Chiropractic, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Chiropractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.