Radiant Health Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9993 Issued in FL

Legal business name

RADIANT HEALTH CHIROPRACTIC LLC

Practice address

209 Dunlawton Ave Ste 18
Port Orange, FL 32127-4458

Phone

(386) 308-9076

Fax

(386) 675-6591

NPI assigned

Nov 18, 2011

Organization subpart

No

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

Authorized official

Name

Brandon Lavelle, D.C.NPI 1396055737

Title

Chiropractor

Phone

(386) 308-9076

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Brandon Lavelle, D.C.

  • Chiropractor
  • Port Orange, FL
  • NPI 1396055737
  Medicare reassignment Care Compare group NPD Authorized official
• Nikolai Lee, DC

  • Chiropractor
  • Port Orange, FL
  • NPI 1699378125
  Medicare reassignment Care Compare group NPD
• Clinton Stuart Collins, DC

  • Chiropractor
  • Ormond Beach, FL
  • NPI 1235015231
  Medicare reassignment NPD
• Cristofer Peter Santilli, DC

  • Chiropractor
  • Warwick, RI
  • NPI 1497448427

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1184991127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 DUNLAWTON AVE STE 18",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274458",
            "telephone_number": "386-308-9076",
            "fax_number": "386-675-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 DUNLAWTON AVE STE 18",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274458",
            "telephone_number": "386-308-9076",
            "fax_number": "386-675-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT HEALTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "LAVELLE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "386-308-9076",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007930500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiology Imaging Associates, LLC
• Radiology Imaging Specialists LLC
• Megan Ragosta
• Steven Allan Rahm, L.M.T.

• Chiropractor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.