Organization Active NPI

Lerner Chiropractic P a

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1184667818
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6828 Issued in FL
Legal business name
LERNER CHIROPRACTIC P A
Practice address
1405-D S. Hiawassee Rd
Orlando, FL 32835-5786
Phone
(407) 292-0909
Fax
(407) 292-4660
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Erik S Lerner, D.C.NPI 1386696342
Title
Owner
Phone
(407) 292-0909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH6828 FL Primary

Addresses

Primary practice location

1405-D S. Hiawassee Rd
Orlando, FL 32835-5786

Mailing address

1405-D S. Hiawassee Rd
Orlando, FL 32835-5786
Phone (407) 292-0909

Other identifiers 2

IdentifierTypeStateIssuer
55193OtherFLBCBS
381825000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120426000318 FL Part B Supplier - Clinic/Group Practice 8921260597 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

1405 S Hiawassee Rd
Ste D
Orlando, FL 32835
Phone (321) 292-0909

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1184667818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405-D S. HIAWASSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355786",
            "telephone_number": "407-292-0909",
            "fax_number": "407-292-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405-D S. HIAWASSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355786",
            "telephone_number": "407-292-0909",
            "fax_number": "407-292-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LERNER CHIROPRACTIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "LERNER",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-292-0909",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55193",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381825000",
            "state": "FL"
        }
    ],
    "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 Nov 23, 2011; 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.