Organization Active NPI

Apopka Wellness Center,Inc.

  • Chiropractor
  • Apopka, FL
National Provider Identifier
1346420627
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0002710 Issued in FL
Legal business name
APOPKA WELLNESS CENTER,INC.
Practice address
424 N Park Ave
Apopka, FL 32712-4152
Phone
(407) 886-0611
Fax
(407) 886-2817
NPI assigned
Nov 5, 2007
Last updated
Oct 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Dr. Adlai Steven Green, D.C.NPI 1760481063
Title
Boss
Phone
(407) 886-0611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0002710 FL Primary
Family Medicine Physician 207Q00000X ME56047 FL

Addresses

Primary practice location

424 N Park Ave
Apopka, FL 32712-4152

Mailing address

424 N Park Ave
Apopka, FL 32712-4152
Phone (407) 886-0611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101014000489 FL Part B Supplier - Clinic/Group Practice 1153529102 Receives reassigned benefits from 2 practitioners
Practice locations: Apopka, FL

National Provider Directory

National Provider Directory

Locations

1431 S Dixie Fwy
#B
New Smyrna Beach, FL 32168
Phone (407) 886-0611

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1346420627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N PARK AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327124152",
            "telephone_number": "407-886-0611",
            "fax_number": "407-886-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N PARK AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327124152",
            "telephone_number": "407-886-0611",
            "fax_number": "407-886-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOPKA WELLNESS CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ADLAI",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "BOSS",
        "authorized_official_telephone_number": "407-886-0611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0002710",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME56047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.

Verify at the official NPI Registry.