Organization Active NPI

Chiro Studio Inc

Doing business as Chiro Studio

  • Chiropractor
  • Cocoa, FL
National Provider Identifier
1194402198
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIRO STUDIO INC
Doing business as
Chiro Studio
Practice address
2301 FL - 524
Suite 180a
Cocoa, FL 32926
Phone
(321) 305-5766
NPI assigned
Jun 30, 2023
Last updated
Jun 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Dr. Isidoro Acevedo Jr., DCNPI 1639871924
Title
Ower/Provider/Ao
Phone
(321) 305-5766

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 Primary

Addresses

Primary practice location

2301 FL - 524
Suite 180a
Cocoa, FL 32926

Mailing address

2301 FL - 524
Suite 180a
Cocoa, FL 32926
Phone (321) 305-5766

Other names 1

  • CHIRO STUDIO Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231227002324 FL Part B Supplier - Clinic/Group Practice 2860842242 Receives reassigned benefits from 1 practitioner
Practice locations: Cocoa, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1194402198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 FL - 524",
            "address_2": "SUITE 180A",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "32926",
            "telephone_number": "321-305-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 FL - 524",
            "address_2": "SUITE 180A",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "32926",
            "telephone_number": "321-305-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO STUDIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "ISIDORO",
        "authorized_official_title_or_position": "OWER/PROVIDER/AO",
        "authorized_official_telephone_number": "321-305-5766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHIRO STUDIO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.