Windermere Chiropractic, PLLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CH9701 Issued in FL

Legal business name

WINDERMERE CHIROPRACTIC, PLLC

Practice address

1805 Maguire Rd
Suite 135
Windermere, FL 34786-7924

Phone

(407) 217-6969

NPI assigned

Nov 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Renick Jr., DC

Title

Chiropractic Physician

Phone

(407) 217-6969

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jae Oh, D.C.

  • Chiropractor
  • Windermere, FL
  • NPI 1548777246
  NPD (past)

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1275819450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 MAGUIRE RD",
            "address_2": "SUITE 135",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867924",
            "telephone_number": "407-217-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 MAGUIRE RD",
            "address_2": "SUITE 135",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867924",
            "telephone_number": "407-217-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDERMERE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "RENICK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "407-217-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH9701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ja'Nesia Williams, RMHCI
• Magued Michael Wilson
• Christian Lance Wimmer, PHD
• Windermere Assisted Living Facility Corp (Windermere Assisted Living since 04/01/2016)
• Windermere Baby and Family
• Windermere Medical Center
• Janelle Allison Wong, MS,CCC-SLP
• Leslie Tamara Yadi, LCSW
• Sophia Sheherezade Yasin, ARNP
• Sharon Antoinette Yorke

• Nutrition Chiropractor in Windermere, FL
• Providers in Windermere, FL by specialty
• Nutrition Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.