Individual provider Active NPI

Jason Avola, DC

  • Chiropractor
  • Winter Garden, FL
National Provider Identifier
1356866313
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12140 Issued in FL
Practice address
5736 Hamlin Groves TRL Ste 154
Winter Garden, FL 34787-5781
Phone
(407) 329-2244
NPI assigned
Aug 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12140 FL Primary

Addresses

Primary practice location

5736 Hamlin Groves TRL Ste 154
Winter Garden, FL 34787-5781

Mailing address

13106 Sunkiss Loop
Windermere, FL 34786-3158
Phone (239) 293-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201229001960 FL Practitioner - Chiropractic 4981017563 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12140FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiro Rosado Winter Garden PLLC Chiropractor CurrentSince Aug 27, 2024 Accepting new patients

Locations

5736 Hamlin Groves Trl
Ste 154
Winter Garden, FL 34787
Phone (407) 329-2244

5736 Hamlin Groves Trl
Bldg 2
Winter Garden, FL 34787
Phone (407) 329-2244

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1356866313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13106 SUNKISS LOOP",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347863158",
            "telephone_number": "239-293-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 HAMLIN GROVES TRL STE 154",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875781",
            "telephone_number": "407-329-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVOLA",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-10",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12140",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 12, 2023; 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.