Organization Active NPI

Ideal Spine Chiropractic Center

  • Chiropractor
  • Kissimmee, FL
National Provider Identifier
1336878982
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IDEAL SPINE CHIROPRACTIC CENTER
Practice address
1210 E Osceola Pkwy Ste 302
Kissimmee, FL 34744-1621
Phone
(407) 807-0101
Fax
(407) 807-0008
NPI assigned
Jun 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Dr. Oscar D. Nieves, DC,
Title
President
Phone
(407) 807-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1210 E Osceola Pkwy Ste 302
Kissimmee, FL 34744-1621

Mailing address

1210 E Osceola Pkwy Ste 302
Kissimmee, FL 34744-1621
Phone (407) 807-0101

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": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1336878982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E OSCEOLA PKWY STE 302",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441621",
            "telephone_number": "407-807-0101",
            "fax_number": "407-807-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E OSCEOLA PKWY STE 302",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441621",
            "telephone_number": "407-807-0101",
            "fax_number": "407-807-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL SPINE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-807-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Jun 8, 2022; 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.