Individual provider Active NPI

Robinson Cherestal, D.C.

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1184057804
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10702 Issued in FL
Practice address
4525 N Pine Hills Rd
Orlando, FL 32808-1952
Phone
(407) 674-8719
Fax
(407) 674-8727
NPI assigned
Aug 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10702 FL Primary

Addresses

Primary practice location

4525 N Pine Hills Rd
Orlando, FL 32808-1952

Mailing address

4525 N Pine Hills Rd
Orlando, FL 32808-1952
Phone (407) 674-8719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH10702FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1184057804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 N PINE HILLS RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081952",
            "telephone_number": "407-674-8719",
            "fax_number": "407-674-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 N PINE HILLS RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081952",
            "telephone_number": "407-674-8719",
            "fax_number": "407-674-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERESTAL",
        "first_name": "ROBINSON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10702",
            "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 Aug 16, 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.