Individual provider Active NPI

Harrison R Prater, D.C.

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1205957891
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4188 Issued in FL
Practice address
7601 Conroy Windermere Rd
Suite 204
Orlando, FL 32835-2688
Phone
(407) 290-6503
Fax
(407) 292-5270
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH4188 FL Primary

Addresses

Primary practice location

7601 Conroy Windermere Rd
Suite 204
Orlando, FL 32835-2688

Mailing address

7601 Conroy Windermere Rd
Suite 204
Orlando, FL 32835-2689
Phone (407) 290-6503

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205957891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 CONROY WINDERMERE RD",
            "address_2": "SUITE 204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328352689",
            "telephone_number": "407-290-6503",
            "fax_number": "407-292-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 CONROY WINDERMERE RD",
            "address_2": "SUITE 204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328352688",
            "telephone_number": "407-290-6503",
            "fax_number": "407-292-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "HARRISON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4188",
            "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 Jul 8, 2007; 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.