Active NPI
Ayo Kunle Adejunmobi, DC
- Chiropractor
- Kissimmee, FL
National Provider Identifier
1295212041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12524
- Practice address
- 335 W Oak St
Kissimmee, FL 34741-4421 - Phone
- (407) 870-1959
- NPI assigned
- Jul 24, 2018
- Last updated
- Jul 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12524 | FL | Primary |
Addresses
Primary practice location
335 W Oak St
Kissimmee, FL 34741-4421
Mailing address
132 Vista Verdi Cir Unit 200
Lake Mary, FL 32746-1679
Phone (813) 368-7962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 Laurel Manor Dr
Suite 204
The Villages, FL 32162-5608
Phone (352) 259-0024
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John C Theeck DC PA | Chiropractor | Current | Accepting new patients |
| Patient Management Consulting LLC | Chiropractor | Past | Accepting new patients |
Locations
1950 Laurel Manor Dr
Ste 204
The Villages, FL 32162
Phone (352) 259-0024
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Kissimmee, FL
- NPI 1275958498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1295212041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 VISTA VERDI CIR UNIT 200",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461679",
"telephone_number": "813-368-7962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 W OAK ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414421",
"telephone_number": "407-870-1959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEJUNMOBI",
"first_name": "AYO",
"middle_name": "KUNLE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-24",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12524",
"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 Jul 24, 2018; 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.