Organization Active NPI

100 Chiro Rosado Maitland PLLC

  • Chiropractor
  • Maitland, FL
National Provider Identifier
1174248207
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
100 CHIRO ROSADO MAITLAND PLLC
Practice address
171 S Orlando Ave Ste a
Maitland, FL 32751-5653
Phone
(772) 201-5849
NPI assigned
Oct 11, 2022
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Dr. Pedro RosadoNPI 1396048047
Title
Owner
Phone
(813) 510-3986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

171 S Orlando Ave Ste a
Maitland, FL 32751-5653

Mailing address

171 S Orlando Ave Ste a
Maitland, FL 32751-5653
Phone (772) 201-5849

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240130001022 FL Part B Supplier - Clinic/Group Practice 0840643557 Receives reassigned benefits from 2 practitioners
Practice locations: Maitland, FL

National Provider Directory

National Provider Directory

Locations

171 S Orlando Ave
Ste A
Maitland, FL 32751
Phone (689) 206-0210

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1174248207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 S ORLANDO AVE STE A",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515653",
            "telephone_number": "772-201-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 S ORLANDO AVE STE A",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515653",
            "telephone_number": "772-201-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "100 CHIRO ROSADO MAITLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-510-3986",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.