Individual provider Active NPI

Andres Oscar Nazario, DC

  • Chiropractor
  • Port Orange, FL
National Provider Identifier
1376451476
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15539 Issued in FL
Practice address
1652 Taylor Rd Unit 303
Port Orange, FL 32128-6753
Phone
(386) 855-8911
NPI assigned
Aug 31, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15539 FL Primary

Addresses

Primary practice location

1652 Taylor Rd Unit 303
Port Orange, FL 32128-6753

Mailing address

3900 Yorktowne Blvd Apt 3707
Port Orange, FL 32129-6016
Phone (787) 397-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1376451476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 YORKTOWNE BLVD APT 3707",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296016",
            "telephone_number": "787-397-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 TAYLOR RD UNIT 303",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286753",
            "telephone_number": "386-855-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIO",
        "first_name": "ANDRES",
        "middle_name": "OSCAR",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.