Active NPI
Jose Ramon Cadavedo-Garcia, DC
- Chiropractor
- Winter Garden, FL
National Provider Identifier
1316125370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9516
- Practice address
- 310 S Dillard St Ste 200
Winter Garden, FL 34787-3515 - Phone
- (407) 347-5953
- Fax
- (407) 614-5911
- NPI assigned
- Feb 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | CH9516 | FL | Primary |
Addresses
Primary practice location
310 S Dillard St Ste 200
Winter Garden, FL 34787-3515
Mailing address
310 S Dillard St Ste 200
Winter Garden, FL 34787-3515
Phone (407) 347-5953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89107 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9516 | FL | MD | Chiropractor |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1316125370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 S DILLARD ST STE 200",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873515",
"telephone_number": "407-347-5953",
"fax_number": "407-614-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S DILLARD ST STE 200",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873515",
"telephone_number": "407-347-5953",
"fax_number": "407-614-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADAVEDO-GARCIA",
"first_name": "JOSE",
"middle_name": "RAMON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-01",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9516",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89107",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.