Active NPI
Yahaira Lee Roman, D.C
- Sports Physician Chiropractor
- Port Orange, FL
National Provider Identifier
1386183358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH11678
- Practice address
- 804 Dunlawton Ave
Suite B
Port Orange, FL 32127-4931 - Phone
- (386) 492-4881
- NPI assigned
- Feb 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CH11678 | FL | Primary |
Addresses
Primary practice location
804 Dunlawton Ave
Suite B
Port Orange, FL 32127-4931
Mailing address
3650 Francis St
Port Orange, FL 32129-3637
Phone (386) 290-9822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1386183358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 FRANCIS ST",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321293637",
"telephone_number": "386-290-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 DUNLAWTON AVE",
"address_2": "SUITE B",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274931",
"telephone_number": "386-492-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "YAHAIRA",
"middle_name": "LEE",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-23",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "FL",
"license": "CH11678",
"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 Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.