Active NPI
Justin Napotnik, D.C.
- Chiropractor
- Windermere, FL
National Provider Identifier
1346416823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9885
- Practice address
- 11600 Lakeside Village LN
Windermere, FL 34786-7024 - Phone
- (407) 876-2273
- Fax
- (407) 347-3950
- NPI assigned
- May 5, 2008
- Last updated
- Oct 29, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009942 | PA | |
| Chiropractor | 111N00000X | CH9885 | FL | Primary |
Addresses
Primary practice location
11600 Lakeside Village LN
Windermere, FL 34786-7024
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (724) 876-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M6915 | Other | FL | FL MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9885 | FL | MD | Chiropractor |
| DC009942 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamlin Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Mistretta Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
Locations
15805 Shaddock Dr
Ste 140
Winter Garden, FL 34787
Phone (407) 439-3765
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
- Greenville, PA
- NPI 1699913483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1346416823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "724-876-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 LAKESIDE VILLAGE LN",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347867024",
"telephone_number": "407-876-2273",
"fax_number": "407-347-3950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAPOTNIK",
"first_name": "JUSTIN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-05",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009942",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "M6915",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Windermere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.