NPIMap

Organization Active NPI

Ideal Chiropractic & Body Contour LLC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1164294286
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IDEAL CHIROPRACTIC & BODY CONTOUR LLC
Practice address
3975 S Orange Blossom TRL Ste 105
Orlando, FL 32839-7905
Phone
(407) 203-0203
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Lesly Dautruche
Title
Manager
Phone
(407) 431-8539

Specialties & licenses 1

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

Addresses

Primary practice location

3975 S Orange Blossom TRL Ste 105
Orlando, FL 32839-7905

Mailing address

3975 S Orange Blossom TRL Ste 105
Orlando, FL 32839-7905
Phone (407) 203-0203

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1164294286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 S ORANGE BLOSSOM TRL STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328397905",
            "telephone_number": "407-203-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 S ORANGE BLOSSOM TRL STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328397905",
            "telephone_number": "407-203-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL CHIROPRACTIC & BODY CONTOUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "DAUTRUCHE",
        "authorized_official_first_name": "LESLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-431-8539"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Oct 23, 2023; 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.