Organization Active NPI

Palm Springs Chiropractic Clinic Inc

  • Chiropractor
  • Altamonte Springs, FL
National Provider Identifier
1174709232
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9295 Issued in FL
Legal business name
PALM SPRINGS CHIROPRACTIC CLINIC INC
Practice address
685 Palm Springs Dr
Ste #1C
Altamonte Springs, FL 32701-7853
Phone
(407) 332-7080
Fax
(407) 332-7079
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Dr. Yaser Mussa-Jimenez, D.C.
Title
Medical Provider
Phone
(407) 332-7080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9295 FL Primary

Addresses

Primary practice location

685 Palm Springs Dr
Ste #1C
Altamonte Springs, FL 32701-7853

Mailing address

685 Palm Springs Dr
Ste #1C
Altamonte Springs, FL 32701-7853
Phone (407) 332-7080

Other identifiers 1

IdentifierTypeStateIssuer
CH9295OtherFLLIC#

National Provider Directory

National Provider Directory

Locations

685 Palm Springs Dr
Ste 1C
Altamonte Springs, FL 32701
Phone (407) 332-7080

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1174709232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 PALM SPRINGS DR",
            "address_2": "STE #1C",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017853",
            "telephone_number": "407-332-7080",
            "fax_number": "407-332-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 PALM SPRINGS DR",
            "address_2": "STE #1C",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017853",
            "telephone_number": "407-332-7080",
            "fax_number": "407-332-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM SPRINGS CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "MUSSA-JIMENEZ",
        "authorized_official_first_name": "YASER",
        "authorized_official_title_or_position": "MEDICAL PROVIDER",
        "authorized_official_telephone_number": "407-332-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC#",
            "identifier": "CH9295",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.