NPIMap

Organization Active NPI

Maitland West Chiropractic & Laser Inc.

  • Point of Service
  • Maitland, FL
National Provider Identifier
1346597960
Registry record updated Dec 31, 2013
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Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
CH9501 Issued in FL
Legal business name
MAITLAND WEST CHIROPRACTIC & LASER INC.
Practice address
1720 Fennell St
Suite 6
Maitland, FL 32751-8672
Phone
(321) 972-8917
Fax
(321) 800-3383
NPI assigned
Aug 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Dr. Roden C Stewart, D.C.
Title
Doctor
Phone
(321) 972-8917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X CH9501 FL Primary

Addresses

Primary practice location

1720 Fennell St
Suite 6
Maitland, FL 32751-8672

Mailing address

1720 Fennell St
Suite 6
Maitland, FL 32751-8672
Phone (321) 972-8917

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1346597960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 FENNELL ST",
            "address_2": "SUITE 6",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327518672",
            "telephone_number": "321-972-8917",
            "fax_number": "321-800-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 FENNELL ST",
            "address_2": "SUITE 6",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327518672",
            "telephone_number": "321-972-8917",
            "fax_number": "321-800-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAITLAND WEST CHIROPRACTIC & LASER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "RODEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "321-972-8917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "CH9501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.