Organization Active NPI

Oviedo Spinal Dynamics

  • Chiropractor
  • Oviedo, FL
National Provider Identifier
1376987859
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10694 Issued in FL
Legal business name
OVIEDO SPINAL DYNAMICS
Practice address
310 W Mitchell Hammock Rd
Suite 500
Oviedo, FL 32765-4924
Phone
(407) 454-1368
NPI assigned
Apr 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Mr. Ignacio Jose Garcia, DCNPI 1023373388
Title
Owner/Physician
Phone
(407) 454-1368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10694 FL Primary

Addresses

Primary practice location

310 W Mitchell Hammock Rd
Suite 500
Oviedo, FL 32765-4924

Mailing address

310 W Mitchell Hammock Rd
Suite 500
Oviedo, FL 32765-4924
Phone (407) 454-1368

Other identifiers 1

IdentifierTypeStateIssuer
CH10694OtherFLLICENSE

National Provider Directory

National Provider Directory

Locations

310 W Mitchell Hammock Rd
Ste 500
Oviedo, FL 32765
Phone (407) 366-2677

Practitioners & affiliated clinicians

Practitioners 1

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": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1376987859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W MITCHELL HAMMOCK RD",
            "address_2": "SUITE 500",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654924",
            "telephone_number": "407-454-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W MITCHELL HAMMOCK RD",
            "address_2": "SUITE 500",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654924",
            "telephone_number": "407-454-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVIEDO SPINAL DYNAMICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "IGNACIO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "407-454-1368",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CH10694",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.