NPIMap

Organization Active NPI

Lake Nona Spine Center, Inc.

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1225433741
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10812 Issued in FL
Legal business name
LAKE NONA SPINE CENTER, INC.
Practice address
10979 Savannah Landing Cir
Orlando, FL 32832-5104
Phone
(321) 299-5266
Fax
(407) 403-6550
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Dr. Christopher Matthew Vann, D.C.NPI 1598002313
Title
Pceo
Phone
(321) 299-5266

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 CH10812 FL Primary

Addresses

Primary practice location

10979 Savannah Landing Cir
Orlando, FL 32832-5104

Mailing address

10979 Savannah Landing Cir
Orlando, FL 32832-5104
Phone (321) 299-5266

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1225433741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10979 SAVANNAH LANDING CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325104",
            "telephone_number": "321-299-5266",
            "fax_number": "407-403-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10979 SAVANNAH LANDING CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325104",
            "telephone_number": "321-299-5266",
            "fax_number": "407-403-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NONA SPINE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PCEO",
        "authorized_official_telephone_number": "321-299-5266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10812",
            "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 Oct 27, 2014; 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.