Organization Active NPI

James C Herndon Jr DC P a

Doing business as Herndon Chiropractic Clinic.

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1376968412
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 5763 Issued in FL
Legal business name
JAMES C HERNDON JR DC P A
Doing business as
Herndon Chiropractic Clinic.
Practice address
7575 Dr Phillips Blvd Ste 110
Orlando, FL 32819-7221
Phone
(407) 345-0508
Fax
(407) 345-0509
NPI assigned
Feb 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
James C. Herndon Jr., D.C.
Title
Owner
Phone
(407) 345-0508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 5763 FL Primary

Addresses

Primary practice location

7575 Dr Phillips Blvd Ste 110
Orlando, FL 32819-7221

Mailing address

7575 Dr Phillips Blvd Ste 110
Orlando, FL 32819-7221
Phone (407) 345-0508

Other identifiers 1

IdentifierTypeStateIssuer
22198OtherFLBCBS PROVIDER ID NUMBER

Other names 1

  • Herndon Chiropractic Clinic. Doing business as

National Provider Directory

National Provider Directory

Locations

7575 Dr Phillips Blvd
Ste 110
Orlando, FL 32819
Phone (321) 345-0508

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1376968412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 DR PHILLIPS BLVD STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197221",
            "telephone_number": "407-345-0508",
            "fax_number": "407-345-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 DR PHILLIPS BLVD STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197221",
            "telephone_number": "407-345-0508",
            "fax_number": "407-345-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES C HERNDON JR DC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-345-0508",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 5763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID NUMBER",
            "identifier": "22198",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herndon Chiropractic Clinic.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 23, 2015; 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.