Individual provider Active NPI

Giovani Perez Vargas, DC

  • Chiropractor
  • Kissimmee, FL
National Provider Identifier
1245062272
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15127 Issued in FL
Practice address
701 Pincon LN
Kissimmee, FL 34759-3807
Phone
(406) 596-1679
NPI assigned
Aug 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15127 FL Primary

Addresses

Primary practice location

701 Pincon LN
Kissimmee, FL 34759-3807

Mailing address

701 Pincon LN
Kissimmee, FL 34759-3807
Phone (406) 596-1679

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004002972 FL Practitioner - Chiropractic 7315478096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenney Chiropractic Center PAGroup PAC ID 1658389937, 4 clinicians

Practice addresses (Care Compare)

5608 SE 113TH St
Suite a
Belleview, FL 34420-2051
Phone (352) 245-8955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15127FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McKenney Chiropractic Center PA Chiropractor CurrentSince Sep 27, 2024 Accepting new patients
McKenney Chiropractic Center PA Chiropractor PastSince Sep 27, 2024 Accepting new patients

Locations

5608 SE 113th St
Ste A
Belleview, FL 34420
Phone (352) 245-8955

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1245062272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PINCON LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593807",
            "telephone_number": "406-596-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PINCON LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593807",
            "telephone_number": "406-596-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ VARGAS",
        "first_name": "GIOVANI",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.