Individual provider Active NPI

Omar Abderhman, DC

  • Orthopedic Chiropractor
  • Jacksonville, FL
National Provider Identifier
1215616149
Registry record updated Nov 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
CH14605 Issued in FL
Practice address
7855 Argyle Forest Blvd Ste 803
Jacksonville, FL 32244-7706
Phone
(904) 884-0328
NPI assigned
Jul 17, 2023
Last updated
Nov 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH14605 FL
Neurology Chiropractor 111NN0400X CH14605 FL
Radiology Chiropractor 111NR0200X CH14605 FL
Sports Physician Chiropractor 111NS0005X CH14605 FL
Occupational Health Chiropractor 111NX0100X CH14605 FL
Orthopedic Chiropractor 111NX0800X CH14605 FL Primary
Rehabilitation Chiropractor 111NR0400X CH14605 FL
Independent Medical Examiner Chiropractor 111NI0013X CH14605 FL

Addresses

Primary practice location

7855 Argyle Forest Blvd Ste 803
Jacksonville, FL 32244-7706

Mailing address

7855 Argyle Forest Blvd Ste 803
Jacksonville, FL 32244-7706
Phone (904) 884-0328

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

State licenses

LicenseStateTypeSpecialty
CH14605FLMDIndependent Medical Examiner Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Integrative Healthcare Inc Chiropractor CurrentSince Nov 1, 2024 Accepting new patients
Coastal Integrative Healthcare Inc CurrentSince Nov 1, 2024 Accepting new patients
Injury Federal Clinic Independent Medical Examiner CurrentSince Nov 18, 2025 Accepting new patients
Coastal Health CurrentSince Mar 30, 2025 Accepting new patients
Atm Healthcare, Inc Chiropractor PastSince Jul 1, 2023 Accepting new patients

Locations

315 N Ridgewood Ave
Edgewater, FL 32132
Phone (386) 427-8403

7855 Argyle Forest Blvd
Ste 803
Jacksonville, FL 32244
Phone (571) 353-8542

9428 Baymeadows Rd
Ste 250
Jacksonville, FL 32256
Phone (386) 427-8403

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25110/brand/1/csg/21/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763856000000",
    "number": "1215616149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 ARGYLE FOREST BLVD STE 803",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447706",
            "telephone_number": "904-884-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 ARGYLE FOREST BLVD STE 803",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447706",
            "telephone_number": "904-884-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDERHMAN",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14605",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH14605",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "FL",
            "license": "CH14605",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH14605",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "FL",
            "license": "CH14605",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "FL",
            "license": "CH14605",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH14605",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "FL",
            "license": "CH14605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2025; 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.