NPIMap

Organization Active NPI

Alafaya Chiropractic Center, Inc.

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1366710147
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 5802 Issued in FL
Legal business name
ALAFAYA CHIROPRACTIC CENTER, INC.
Practice address
11905 E Colonial Dr
Orlando, FL 32826-4725
Phone
(407) 281-0900
Fax
(407) 281-0900
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. David Allen Inderwiesen, D.C.
Title
President
Phone
(407) 281-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 5802 FL Primary

Addresses

Primary practice location

11905 E Colonial Dr
Orlando, FL 32826-4725

Mailing address

11905 E Colonial Dr
Orlando, FL 32826-4725
Phone (407) 281-0900

Other identifiers 2

IdentifierTypeStateIssuer
381458100MedicaidFL
22661OtherFLBLUE CROSS AND BLUE SHIELD OF FLORIDA

National Provider Directory

National Provider Directory

Locations

11905 E Colonial Dr
Orlando, FL 32826
Phone (407) 281-0900

Practitioners & affiliated clinicians

Practitioners 3

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": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1366710147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264725",
            "telephone_number": "407-281-0900",
            "fax_number": "407-281-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264725",
            "telephone_number": "407-281-0900",
            "fax_number": "407-281-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAFAYA CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "INDERWIESEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-281-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 5802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381458100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF FLORIDA",
            "identifier": "22661",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.