Organization Active NPI

The Mind and Hand Center LLC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1225304892
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9363 Issued in FL
Legal business name
THE MIND AND HAND CENTER LLC
Practice address
415 E Michigan St
Orlando, FL 32806-4554
Phone
(407) 423-1616
Fax
(407) 423-1889
NPI assigned
Mar 28, 2012
Last updated
Apr 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Dr. Robert Jordan Koch, D.C.NPI 1831397991
Title
Coo/Chiropractor
Phone
(407) 423-1616

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
Chiropractor 111N00000X 9363 FL Primary

Addresses

Primary practice location

415 E Michigan St
Orlando, FL 32806-4554

Mailing address

415 E Michigan St
Orlando, FL 32806-4554
Phone (407) 423-1616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120918000180 FL Part B Supplier - Clinic/Group Practice 4880842814 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1225304892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064554",
            "telephone_number": "407-423-1616",
            "fax_number": "407-423-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064554",
            "telephone_number": "407-423-1616",
            "fax_number": "407-423-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MIND AND HAND CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "COO/CHIROPRACTOR",
        "authorized_official_telephone_number": "407-423-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "9363",
            "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 Apr 12, 2012; 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.